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
Fax: (631) 421-5991
Website:

Health care specialties

SpecialtyCodeLicense #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 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952413809 NPPES
New York MEDICAID W91571
New York Other 110052703

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