| Raza Medical Practice Pllc | |
|
188 W Main St Oyster Bay NY 11771-2267 | |
| (347) 556-0757 | |
| Not Available |
| Full Name | Raza Medical Practice Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 188 W Main St, Oyster Bay, New York |
| Authorized Official Name and Position | Seeme Raza (CEO) |
| Authorized Official Contact | 3475560757 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raza Medical Practice Pllc 188 W Main St Oyster Bay NY 11771-2267 Ph: (347) 556-0757 | Raza Medical Practice Pllc 188 W Main St Oyster Bay NY 11771-2267 Ph: (347) 556-0757 |
| NPI Number | 1508684663 |
|---|---|
| Provider Enumeration Date | 09/27/2024 |
| Last Update Date | 12/30/2024 |
| Medicare PECOS PAC ID | 2365977857 |
|---|---|
| Medicare Enrollment ID | O20241120002896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508684663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Seeme Raza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609238112 PECOS PAC ID: 5193054518 Enrollment ID: I20201006001703 |
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