Provider Demographics
NPI:1750416913
Name:HART, CATHERINE CARLISLE (MD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:CARLISLE
Last Name:HART
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 1:310 E 72ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4726
Mailing Address - Country:US
Mailing Address - Phone:212-396-3272
Mailing Address - Fax:212-570-5888
Practice Address - Street 1:310 E 72ND ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4726
Practice Address - Country:US
Practice Address - Phone:212-396-3272
Practice Address - Fax:212-570-5888
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY147061207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC09563Medicare UPIN
NY57F001Medicare PIN