Individual
MIR RAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2300
Mailing address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
299002
NY
Other
Enumeration date
04/06/2016
Last updated
06/28/2019
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