Individual
MR. BRYAN HARTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1045 W JERICHO TPKE, SMITHTOWN, NY 11787-3205
(631) 543-8844
Mailing address
PO BOX 719, NORTHPORT, NY 11768-0719
(631) 327-3278
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F350493
NY
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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