Provider Demographics
NPI:1821426495
Name:NIAMH HARTNETT
Entity Type:Organization
Organization Name:NIAMH HARTNETT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:NIAMH
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-319-0777
Mailing Address - Street 1:5 MIDLAND GDNS
Mailing Address - Street 2:APT. 4M
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-4721
Mailing Address - Country:US
Mailing Address - Phone:914-319-0777
Mailing Address - Fax:
Practice Address - Street 1:5 MIDLAND GDNS
Practice Address - Street 2:APT. 4M
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-4721
Practice Address - Country:US
Practice Address - Phone:914-319-0777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-17
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023282-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty