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Anisa Hazelwood, MS

NPI 1932691417 · on the registry since 2018 · sole proprietor

Practice

Address
100 Dixon Ave
Copiague, NY 11726
Phone
(631) 491-1278

Registry record

Primary taxonomy
174400000X
174400000X
Also registered as
174400000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-05-31

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