| Doctor Name: | JOAN HARTNETT |
| NPI Number: | 1043482615 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | 304401 |
| Business Practice Address: | 134 Iris Ave Floral Park, NY - 110013020 |
| Business Phone Number: | 5164881764 |
| Business Fax Number: | |
| Mailing Address: | 1275 York Ave, NEW YORK |
| State: | NY |
| Postal Code: | 100656007 |
| Phone Number: | 2126392000 |
| Fax Number: | |
| NPI Enumeration Date: | 03/24/2008 |
| NPI Last Update Date: | 03/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 304401 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |