Individual
DR. MARC B HAZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W CARVER STREET, SUITE 1, HUNTINGTON, NY 11743
(631) 421-0020
(631) 421-5991
Mailing address
200 W CARVER STREET, SUITE 1, HUNTINGTON, NY 11743
(631) 421-0020
(631) 421-5991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
134494
NY
207RC0000X
Cardiovascular Disease Physician
Primary
134494
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110052703
RAILROAD MEDICARE
—
05
—
W91571
—
NY
Enumeration date
08/31/2006
Last updated
03/24/2008
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