Individual
AMANDA J HAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
6245 WYNMOOR DR, CICERO, NY 13039-9236
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
011753-1
NY
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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