Individual
HAZON ROTBART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(845) 263-2808
Mailing address
440 ETNA ST, BROOKLYN, NY 11208-1827
(845) 263-2808
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431520
NY
Other
Enumeration date
07/04/2019
Last updated
07/04/2019
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