Provider Demographics
NPI:1396591632
Name:ALEXANDRE, HATZ (MD)
Entity type:Individual
Prefix:
First Name:HATZ
Middle Name:
Last Name:ALEXANDRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2136 BEDFORD AVE APT 1A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-8669
Mailing Address - Country:US
Mailing Address - Phone:786-973-0469
Mailing Address - Fax:
Practice Address - Street 1:672 PARKSIDE AVE STE 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-2990
Practice Address - Country:US
Practice Address - Phone:786-973-0469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker