Luke Immanuel Hartman, MD
Pediatrics, Pediatric Emergency Medicine in Stony Brook, NY. Individual provider (NPI-1).
NPI number1508327552
StatusActive
Last updated in NPPESSep 3, 2026
Details
- NPI
- 1508327552
- Entity type
- Individual (NPI-1)
- Name
- Luke Immanuel Hartman
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2019
- Certification date
- Sep 3, 2026
- Last updated
- Sep 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | 345698 | NY | Yes |
| 208000000X | Pediatrics | 345698 | NY |
Practice location
101 Nicolls RdStony Brook, NY 11794-0001
Phone 631-638-1567
Mailing address
Po Box 1559Stony Brook, NY 11790-0989
Phone 631-444-0650
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