Healthcare Provider Details

I. General information

NPI: 1902158181
Provider Name (Legal Business Name): HARTMAN & HARTMAN PSYCHOLOGISTS, P. C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2012
Last Update Date: 10/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 HILLSIDE AVE
WILLISTON PARK NY
11596-2333
US

IV. Provider business mailing address

99 HILLSIDE AVE
WILLISTON PARK NY
11596-2333
US

V. Phone/Fax

Practice location:
  • Phone: 516-745-2487
  • Fax: 516-294-4810
Mailing address:
  • Phone: 516-745-2487
  • Fax: 516-294-4810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number StateNY

VIII. Authorized Official

Name: DR. FREDRIC CHARLES HARTMAN
Title or Position: SECRETARY
Credential: PH.D.
Phone: 516-746-2487