Individual
FAUZIA RAZZAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-6500
Mailing address
8337 CHARLECOTE RDG, JAMAICA, NY 11432-2141
(646) 386-6499
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
627417
NY
363LF0000X
Family Nurse Practitioner
Primary
339518
NY
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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