Raza Medical, P.c | |
1221 Dutch Broadway Valley Stream NY 11580-1512 | |
(516) 887-0833 | |
(516) 284-6516 |
Full Name | Raza Medical, P.c |
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Speciality | Clinic/Center |
Location | 1221 Dutch Broadway, Valley Stream, New York |
Authorized Official Name and Position | Nadeem Raza (MD) |
Authorized Official Contact | 5168870833 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Raza Medical, P.c 1221 Dutch Broadway Valley Stream NY 11580-1512 Ph: (516) 887-0833 | Raza Medical, P.c 1221 Dutch Broadway Valley Stream NY 11580-1512 Ph: (516) 887-0833 |
NPI Number | 1154434033 |
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Provider Enumeration Date | 08/16/2006 |
Last Update Date | 05/21/2013 |
Medicare PECOS PAC ID | 3870559321 |
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Medicare Enrollment ID | O20041206001154 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154434033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 219087 (New York) | Primary |
Provider Name | Nadeem Raza |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861411522 PECOS PAC ID: 2163311036 Enrollment ID: I20040311000127 |
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