Provider Demographics
NPI:1689996514
Name:HARDART, M. KATHLEEN MOYNIHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:M. KATHLEEN
Middle Name:MOYNIHAN
Last Name:HARDART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 LOCUST LN
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-4916
Mailing Address - Country:US
Mailing Address - Phone:914-793-7895
Mailing Address - Fax:
Practice Address - Street 1:4 LOCUST LN
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-4916
Practice Address - Country:US
Practice Address - Phone:914-793-7895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-19
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2341102080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine