Hazen, Gordon L

Hazen, Gordon L is an individual health care provider with primary practice located at 71 Prospect Ave Suite L10, Hudson NY 12534-2907. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hazen, Gordon L can be contacted via phone (518) 697-3555.

Contact Information

Primary practice address
71 Prospect Ave Suite L10 Hudson NY 12534-2907
Phone: (518) 697-3555
Fax: (518) 697-3558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004258 New York

Profile Details

NPI number 1689600298
LBN Legal business name Hazen, Gordon L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Jul 16th, 2007 - about 18 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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