Individual
DR. HASAN AIJAZ RIZVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 E MAIN ST, SUITE #5, BAY SHORE, NY 11706-8427
(631) 751-3000
(631) 675-2001
Mailing address
180 E MAIN ST, STE 5, BAY SHORE, NY 11706-8427
(631) 645-2842
(866) 252-3902
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
158747
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00869003
—
NY
Enumeration date
02/08/2006
Last updated
07/09/2019
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