| Andrew Razin, M.d., P.c. | |
|
1567 Palisade Avenue Suite 2 C Fort Lee NJ 07024-6923 | |
| (201) 944-4824 | |
| (201) 944-4824 |
| Full Name | Andrew Razin, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1567 Palisade Avenue, Fort Lee, New Jersey |
| Authorized Official Name and Position | Andrew Michael Razin (PRESIDENT) |
| Authorized Official Contact | 2019444824 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Razin, M.d., P.c. 1567 Palisade Avenue Suite 2 C Fort Lee NJ 07024-6923 Ph: (201) 944-4824 | Andrew Razin, M.d., P.c. 1567 Palisade Avenue Suite 2 C Fort Lee NJ 07024-6923 Ph: (201) 944-4824 |
| NPI Number | 1013099324 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 02/22/2012 |
| Medicare PECOS PAC ID | 9638337595 |
|---|---|
| Medicare Enrollment ID | O20120223000064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013099324 | NPI | - | NPPES |
| 0160504 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MA38155 (New Jersey) | Primary |
| Provider Name | Andrew M Razin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902083090 PECOS PAC ID: 9537327499 Enrollment ID: I20120223000079 |
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