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NPI Code Detail

MEDICARE: DR. ARTHUR I HAZLEWOODDD DDS

MEDICARE:  DR. ARTHUR I HAZLEWOODDD  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist024485NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275627630
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARTHUR I HAZLEWOODDD DDS
Provider Business Mailing Address
First Line : 467 CROWN ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11225-3119
Country : US
Telephone Number : 718-774-1554
Fax Number : 718-756-4539
Provider Business Practice Location Address
First Line : 467 CROWN ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11225-3119
Country : US
Telephone Number : 718-774-1554
Fax Number : 718-756-4539
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 07/08/2007

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