Provider Demographics
NPI:1366973000
Name:HARTMAN, ELANA (MD)
Entity type:Individual
Prefix:DR
First Name:ELANA
Middle Name:
Last Name:HARTMAN
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 1:12 OLD MAMARONECK RD STE 1D
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-2025
Mailing Address - Country:US
Mailing Address - Phone:914-573-7088
Mailing Address - Fax:
Practice Address - Street 1:12 OLD MAMARONECK RD STE 1D
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-2025
Practice Address - Country:US
Practice Address - Phone:914-844-2667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-24
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332709208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation