Individual
ANDREW JOHN HASENZAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
2200 NORTHERN BLVD STE 104, GREENVALE, NY 11548-1220
(631) 521-1986
Mailing address
30 HOFSTRA DR, GREENLAWN, NY 11740-1923
(631) 521-1986
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
06/29/2025
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