Hazan, Marc B
Hazan, Marc B is an individual health care provider with primary practice located at 200 W Carver Street Suite 1, Huntington NY 11743. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Hazan, Marc B can be contacted via phone (631) 421-0020.Contact Information
Primary practice address
200 W Carver Street Suite 1
Huntington NY 11743
Phone: (631) 421-0020
Fax: (631) 421-5991
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 134494 | New York |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 134494 | New York |
Profile Details
NPI number | 1952413809 |
---|---|
LBN Legal business name | Hazan, Marc B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2006 |
Last updated | Mar 24th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952413809 | NPPES |
New York | MEDICAID | W91571 | |
New York | Other | 110052703 |
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