Individual
KEMBA HAZELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
1825 EASTCHESTER RD FL 5N, BRONX, NY 10461-2301
(718) 904-4032
Mailing address
111 N 3RD AVE APT 3U, MOUNT VERNON, NY 10550-1375
(845) 323-5620
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
F350491
NY
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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