Individual
ALISON HAZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
15 W 75TH ST, #6A, NEW YORK, NY 10023-2060
(917) 804-1826
Mailing address
15 W 75TH ST, #6A, NEW YORK, NY 10023-2060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019170
NY
Other
Enumeration date
05/09/2016
Last updated
02/09/2022
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