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Individual

MR. ABDUL-RAZAK MOHAMMED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
506 LENOX AVE, NEW YORK, NY 10037-1802
(212) 939-1620
Mailing address
1434 OGDEN AVE, APT 6Q, BRONX, NY 10452-2341
(646) 670-8626

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
F338657
NY
363LF0000X
Family Nurse Practitioner
Primary
338657
NY

Other

Enumeration date
04/02/2014
Last updated
05/16/2023
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