Provider Demographics
NPI:1942243043
Name:HARTMANN, DONNA M (DPM)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:M
Last Name:HARTMANN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 S BROADWAY
Mailing Address - Street 2:SUITE 504
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-4400
Mailing Address - Country:US
Mailing Address - Phone:914-289-2592
Mailing Address - Fax:914-289-2591
Practice Address - Street 1:34 S BROADWAY
Practice Address - Street 2:SUITE 504
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4400
Practice Address - Country:US
Practice Address - Phone:914-289-2592
Practice Address - Fax:914-289-2591
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN0032441213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP35421Medicare ID - Type Unspecified