Individual
LEON HAZARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
560 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-8134
Mailing address
30 WATERSIDE PLZ, 10 C, NEW YORK, NY 10010-2622
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
304460
NY
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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