Individual
DACIA DEVIAN HAZARIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
206-20 LINDEN BLVD, CAMBRIA HEIGHTS, NY 11411-1524
(718) 479-6600
(718) 264-7080
Mailing address
55 WATER ST FL 2, NEW YORK, NY 10041-0010
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
228655
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02782745
—
NY
01
—
228655
STATE LICENSE
NY
Enumeration date
10/24/2006
Last updated
09/29/2025
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