Provider Demographics
NPI:1467587691
Name:HART, SIDNEY H (MD)
Entity Type:Individual
Prefix:
First Name:SIDNEY
Middle Name:H
Last Name:HART
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:282 RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-6375
Mailing Address - Country:US
Mailing Address - Phone:203-622-1722
Mailing Address - Fax:203-622-0540
Practice Address - Street 1:282 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-6375
Practice Address - Country:US
Practice Address - Phone:203-622-1722
Practice Address - Fax:203-622-0540
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0173942084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry