Provider Demographics
NPI:1437648771
Name:HAKMI, HAZIM
Entity Type:Individual
Prefix:MR
First Name:HAZIM
Middle Name:
Last Name:HAKMI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 WISTERIA WAY
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725
Mailing Address - Country:US
Mailing Address - Phone:631-624-7495
Mailing Address - Fax:631-444-7689
Practice Address - Street 1:19-030 STONY BROOK STONY BROOK HOSPITAL DEPARTMENT OF S
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8191
Practice Address - Country:US
Practice Address - Phone:631-444-1791
Practice Address - Fax:631-444-7689
Is Sole Proprietor?:No
Enumeration Date:2018-05-02
Last Update Date:2019-01-22
Deactivation Date:2018-12-13
Deactivation Code:
Reactivation Date:2019-01-22
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program