Healthcare Provider Details

I. General information

NPI: 1043839152
Provider Name (Legal Business Name): HANON ALEXANDER POZEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2020
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MAIMONIDES MEDICAL CENTER 4802 10TH AVENUE
BROOKLYN NY
11219
US

IV. Provider business mailing address

MAIMONIDES MEDICAL CENTER 4802 10TH AVENUE
BROOKLYN NY
11219
US

V. Phone/Fax

Practice location:
  • Phone: 718-283-6000
  • Fax:
Mailing address:
  • Phone: 718-283-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number186826
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: