Individual
DR. ANN MIRIAM HAZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
22 PARK ST, CANTON, NY 13617-1365
(315) 386-3886
(315) 386-1844
Mailing address
22 PARK ST, CANTON, NY 13617-1365
(315) 386-3886
(315) 386-1844
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50-054558
NY
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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