Individual
MRS. EILEEN M. HAZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
(631) 687-4001
Mailing address
9 SHAWMONT LN, STONY BROOK, NY 11790-3116
(631) 751-2623
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300676-1
NY
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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