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Roosevelt Hazzard, D.P.M
NPI 1861502403 · on the registry since 2006 · sole proprietor
Practice
- Address
- 9703 Springfield Blvd
Queens Village, NY 11429 - Phone
- (718) 465-7200
- Fax
- (718) 465-0407
- Organisation at this address
- Slb Medical Associates
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 213ES0131X
213ES0131X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York