Individual
DR. COREY HAZEKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-6011
Mailing address
2208 W DIVERSEY AVE UNIT F, CHICAGO, IL 60647-5913
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036173332
IL
207P00000X
Emergency Medicine Physician
Primary
330770
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2021
Last updated
05/06/2025
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