Provider Demographics
NPI:1053670745
Name:HART, ZACHARY (DPM)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:
Last Name:HART
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 HARRISON AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-3150
Mailing Address - Country:US
Mailing Address - Phone:914-698-2025
Mailing Address - Fax:914-698-1276
Practice Address - Street 1:1600 HARRISON AVE STE 206
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-3150
Practice Address - Country:US
Practice Address - Phone:914-698-2025
Practice Address - Fax:914-698-1276
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-15
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI2173290213ES0103X
NYN006749213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery