Individual
JEFFREY D HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4200 SUNRISE HWY, MASSAPEQUA, NY 11758-5311
(833) 374-2787
Mailing address
4200 SUNRISE HWY, MASSAPEQUA, NY 11758-5311
(833) 374-2787
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
259570
NY
207X00000X
Orthopaedic Surgery Physician
259570-01
NY
207X00000X
Orthopaedic Surgery Physician
OS12108
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
259570
NY
Other
Enumeration date
05/16/2008
Last updated
11/27/2023
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