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Contact Information

JEFFREY D HART, DO
4200 SUNRISE HWY
MASSAPEQUA, NY11758-5311
 Phone: 833-374-2787
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JEFFREY D HART · (Male)

NPI Number 1386801579
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/16/2008
Last updated 11/27/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OS12108
  • NY License # 259570
  • NY License # 259570-01
Hospital affiliation(s)
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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