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Individual

DR. CAROLE HAZAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3111 NEW HYDE PARK RD, NEW HYDE PARK, NY 11042-1217
(516) 365-2300
Mailing address
3111 NEW HYDE PARK RD, NEW HYDE PARK, NY 11042-1217
(516) 365-2300

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
243559
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
113283891
UNITED HEALTHCARE
NY
01
4K3671
BC/BS
NY
01
7874802
CIGNA
NY
Enumeration date
04/27/2007
Last updated
07/16/2009
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