MEDICARE: SAROJ ARVIND HAZARI MD

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
1	207L00000X	Anesthesiology Physician	142907-1	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1942208566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAROJ ARVIND HAZARI MD

Provider Business Mailing Address
First Line	:	248 ALBOURNE AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10309-3033
Country	:	US
Telephone Number	:	718-967-2879
Fax Number	:	718-967-2581

Provider Business Practice Location Address
First Line	:	248 ALBOURNE AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10309-3033
Country	:	US
Telephone Number	:	718-967-2879
Fax Number	:	718-967-2581

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	03/11/2008

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