Provider Demographics
NPI:1366749129
Name:HAZAN, ZARINA
Entity type:Individual
Prefix:MISS
First Name:ZARINA
Middle Name:
Last Name:HAZAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 E 65TH ST APT 21J
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6628
Mailing Address - Country:US
Mailing Address - Phone:646-642-2303
Mailing Address - Fax:
Practice Address - Street 1:220 E 65TH ST APT 21J
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6628
Practice Address - Country:US
Practice Address - Phone:646-642-2303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-14
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021604-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist