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Organization
MERMAID MEDICAL WELLNESS.PC
Active
Organization
MERMAID MEDICAL WELLNESS.PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDOVARD J HAZEL MD (OWNER)
(917) 916-2371
Entity
Organization
Contact information
Practice address
2885 WEST 15TH STREET, BROOKLYN, NY 11224
(917) 916-2371
Mailing address
2885 WEST 15TH STREET, BROOKLYN, NY 11224
(917) 916-2371
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
157270
NY
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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