SENATOR K HAZELWOOD


Address: 15 Maple Ave, Warwick, NY 10990-1028
Phone: 8459875173

SENATOR K HAZELWOOD (NPI# 1407028251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407028251
Entity Type Individual
Full Name SENATOR K HAZELWOOD
Credential MD
Practice Address 15 Maple Ave
Warwick
NY 10990-1028
Mailing Address 571 Saint Josephs Blvd
Fl 2
Elmira
NY 14901-3230
Practice Telephone 8459875173
Mailing Telephone 6077377770
Enumeration Date 2008-04-01
Last Update Date 2018-07-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine MD433309 PA Allopathic & Osteopathic Physicians
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
BP1-0034773 TX Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist 247115 NY Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist MD433309 PA Allopathic & Osteopathic Physicians

Office Location

Street Address 15 MAPLE AVE
City WARWICK
State NY
Zip Code 10990-1028

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598755324 St. Anthony Community Hospital General Acute Care Hospital 15 Maple Ave, Warwick, NY 10990-1028 2005-10-24
1609310887 Kathryn Ryans Physical Therapist 15 Maple Ave, Warwick, NY 10990-1028 2016-12-07
1982064804 Colleen Miller Occupational Therapist 15 Maple Ave, Warwick, NY 10990-1028 2016-03-04
1922483833 Sylvia Roome Physical Therapist 15 Maple Ave, Warwick, NY 10990-1028 2015-07-22
1558746453 Heather Knudsen Speech-Language Pathologist 15 Maple Ave, Warwick, NY 10990-1028 2015-07-21
1386027647 Amy Fotino Registered Nurse 15 Maple Ave, Warwick, NY 10990-1028 2015-07-06
1558751883 Yuwei Xu Registered Nurse 15 Maple Ave, Warwick, NY 10990-1028 2015-01-26
1689085250 Warwick Anesthesia Group LLC Anesthesiology 15 Maple Ave, Warwick, NY 10990-1028 2014-05-16
1174892509 Wei Nie Nurse Anesthetist, Certified Registered 15 Maple Ave, Warwick, NY 10990-1028 2011-12-13
1831477694 Gurpreet Singh Internal Medicine 15 Maple Ave, Warwick, NY 10990-1028 2011-07-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750992079 Trauma and Resiliency Resources, Inc. Community/Behavioral Health Winslow Therapeutic Center, 1433 Ny-17a, Warwick, NY 10990 2020-08-11
1881163921 Warwick Reformed Church Home Delivered Meals 16 Maple Avenue, Warwick, NY 10990 2018-11-19
1821522400 Lauren Weller Behavior Technician 103 Little York Road, Warwick, NY 10990 2017-04-20
1154726859 Marie T Mars Licensed Practical Nurse 40 Marian Ct, Warwick, NY 10990 2014-10-24
1417383282 Lawrence M Kamhi Md PC Anesthesiology 121 Village Green Court, Warwick, NY 10990 2013-09-24
1427491398 Dynamic Therapy Inc Early Intervention Provider Agency 47 Homestead Village Drive, Warwick, NY 10990 2013-04-10
1033498381 Needelia Davis Registered Nurse 15 Blue Spruce Trl, Warwick, NY 10990 2011-08-04
1255644803 Joelle Rodriguez Optometrist 36 Ronald Reagan Blvd., Warwick, NY 10990 2010-07-23
1891027900 Delna M Joseph Licensed Practical Nurse 20 Grand Street, Warwick, NY 10990 2010-02-01
1366689200 Premiere Physical Therapy, PC Physical Therapist 56 Onderdonk Rd, Warick, NY 10990 2009-01-14
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528431467 Donald F. Heiman, M.d. Internal Medicine 204 Strawberry Ct, Warwick, PA 18974-3826 2015-10-31
1689650327 Kenneth H Salzsieder Internal Medicine 470 Toll Gate Rd, Suite 205, Warwick, RI 02886-2741 2005-12-15
1285623520 Gerard Martin Freisinger Internal Medicine 15 Maple Avenue, Warwick, NY 10990-1522 2005-10-19
1013918903 Murli K Raman Internal Medicine 455 Tollgate Rd, Brigham & Women's Cardiovascular Associates At Cne, Warwick, RI 02886-0288 2005-08-02
1003812769 John David Lowney Internal Medicine 1030 Warwick Ave, Warwick, RI 02888-3655 2005-06-27
1023012572 Jennifer F Jarbeau Internal Medicine 400 Bald Hill Rd Ste 524, Warwick, RI 02886-6100 2005-06-10
1215931035 Joseph Spinale Internal Medicine 390 Toll Gate Rd, Suite 205, Warwick, RI 02886-4326 2005-06-09
1790158046 Donald Heiman Internal Medicine 204 Strawberry Ct, Warwick, PA 18974-3826 2015-11-09
1780007575 Southeastern New England Diagnostic Services, Inc Internal Medicine 1030 Warwick Ave, Warwick, RI 02888-3655 2014-01-29
1063790061 Ara Leon Tachjian Internal Medicine 455 Toll Gate Rd, Ambulatory Services Pavillion, Warwick, RI 02886-2759 2011-07-26
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City WARWICK
Zip Code 10990

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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