Individual
AHMED AJJEL HAZAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SPECIALIST ASSISTANT
Contact information
Practice address
301 N MAIN ST, 2 SUITE, NEW CITY, NY 10956-4021
(845) 638-0400
(845) 638-1193
Mailing address
301 N MAIN ST, 2 SUITE, NEW CITY, NY 10956-4021
(845) 638-0400
(845) 638-1193
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
000180
NY
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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