Individual
EZRA HAZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7901 4TH AVE, BROOKLYN, NY 11209-3972
(718) 491-5800
Mailing address
715 AVENUE I, BROOKLYN, NY 11230-2711
(917) 699-6745
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
301085
NY
Other
Enumeration date
04/14/2015
Last updated
03/07/2023
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