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Mrs. Anisa Ms Hazelwood, MS
Specialist in Copiague, New York
NPI 1932691417

Anisa Ms Hazelwood is a Specialist based in Copiague, NY. Anisa Ms Hazelwood practices in Copiague, NY and has the professional credentials of MS. The NPI Number for Anisa Ms Hazelwood is 1932691417 and holds a License No. 846149141 (New York).

The current practice location address for Anisa Ms Hazelwood is 100 Dixon Ave, Copiague, NY and can be reached out via phone at 631-491-1278.

Location: 100 Dixon Ave, Copiague, NY, 11726-1905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932691417
Provider Name
Anisa Ms Hazelwood
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
100 Dixon Ave, Copiague, NY, 11726-1905
Phone Number
631-491-1278
Fax Number
Provider Enumeration Date
05/31/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Dixon Ave
City
Copiague
State
New York
Zip
11726-1905
Phone Number
631-491-1278
Fax Number
person
Provider Business Mailing Address Details
Address
100 Dixon Ave
City
Copiague
State
New York
Zip
11726-1905
Phone Number
631-491-1278
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
846149141 (New York)
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.
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