MEDICARE: DR. ANTON H HART PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	010364	NY

General Provider Information

NPI Number	:	1639344047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTON H HART PH.D.

Provider Business Mailing Address
First Line	:	235 W END AVE
Second Line	:	SUITE 2-E
City	:	NEW YORK
State	:	NY
Zip	:	10023-3631
Country	:	US
Telephone Number	:	212-595-3704
Fax Number	:

Provider Business Practice Location Address
First Line	:	235 W END AVE
Second Line	:	SUITE 2-E
City	:	NEW YORK
State	:	NY
Zip	:	10023-3631
Country	:	US
Telephone Number	:	212-595-3704
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2008
Last Update Date	:	04/25/2008

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Directions to “ DR. ANTON H HART PH.D.” Practice Location

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