Individual
AFSOON RAZAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
325 E MAIN ST STE 120, PATCHOGUE, NY 11772-3114
(631) 654-3278
(631) 654-1474
Mailing address
325 E MAIN ST STE 120, PATCHOGUE, NY 11772-3114
(631) 654-3278
(631) 654-1474
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
317905
NY
Other
Enumeration date
06/30/2019
Last updated
01/23/2024
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