Individual
DIANE MARIE HARTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 RED CREEK DR, SUITE 110, ROCHESTER, NY 14623-4284
(585) 487-3420
(585) 334-1264
Mailing address
601 ELMWOOD AVE, BOX 668, ROCHESTER, NY 14642-0001
(585) 275-0638
(585) 273-3359
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
176004
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01280648
—
NY
01
—
3442
BLUE SHIELD
NY
01
—
7194201
AETNA
NY
01
—
MDA340
PREFERRED CARE
NY
01
—
P010176004
BLUE CHOICE
NY
Enumeration date
07/10/2006
Last updated
07/05/2023
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