IndividualActive
Ezra Hazan
NPI 1649666975 · MOHS-Micrographic Surgery Physician · Brooklyn, NY
Provider details
- NPI number
- 1649666975
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 301085 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7901 4th Ave
Brooklyn, NY 11209-3972
Phone: (718) 491-5800
Approximate (ZIP-level) locationGet directions
Mailing address
715 Avenue I
Brooklyn, NY 11230-2711
Additional practice locations (2)
- 8 Forrestal Rd SPrinceton, NJ 08540-6658Phone: (609) 799-6222
- 833 Chestnut StSuite 740Philadelphia, PA 19107-4414Phone: (215) 955-4947
Registry dates
- Enumerated
- 2015-04-14
- Last updated
- 2023-03-07
- Certified
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.