Individual
OZ MENACHEM HASIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
470 CEDARHURST AVE, CEDARHURST, NY 11516-1217
(347) 302-6214
Mailing address
177 WANSER AVE, INWOOD, NY 11096-2114
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
802625
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405507
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2020
Last updated
01/18/2024
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