Individual provider · Type 1 NPI

Carol Marie Fernandez Hazim, MD

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1043838964 Active

Practice location

111 E 210th St
Bronx, NY 10467-2401

Call (718) 920-9892 Map

Fax (718) 920-9036

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043838964

Carol Marie Fernandez Hazim, MD's National Provider Identifier is 1043838964, issued on Jul 7, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Jul 7, 2020.