Healthcare Provider Details

I. General information

NPI: 1760496459
Provider Name (Legal Business Name): STEVEN DAVED HARTMAN PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

775 PARK AVE SUITE 112
HUNTINGTON NY
11743-3976
US

IV. Provider business mailing address

775 PARK AVE SUITE 112
HUNTINGTON NY
11743-3976
US

V. Phone/Fax

Practice location:
  • Phone: 516-521-8972
  • Fax: 631-673-0799
Mailing address:
  • Phone: 516-521-8972
  • Fax: 631-673-0799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number014481
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number014481
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: