Individual
JOAN HARTNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
134 IRIS AVE, FLORAL PARK, NY 11001-3020
(516) 488-1764
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
304401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
304401
NP
NY
Enumeration date
03/24/2008
Last updated
03/24/2008
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