Doctor Name: | AHMED AJJEL HAZAE |
NPI Number: | 1134492234 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SPECIALIST ASSISTANT |
License Number: | 000180 |
Business Practice Address: | 301 N Main St 2 Suite New City, NY - 109564021 |
Business Phone Number: | 8456380400 |
Business Fax Number: | 8456381193 |
Mailing Address: | 301 N Main St, 2 Suite NEW CITY |
State: | NY |
Postal Code: | 109564021 |
Phone Number: | 8456380400 |
Fax Number: | 8456381193 |
NPI Enumeration Date: | 02/20/2012 |
NPI Last Update Date: | 02/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 000180 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |