Individual
DR. MARYAM N RAZAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW (R) DSW
Contact information
Practice address
330 E 71TH ST # 14, NY, NY 10021
(917) 734-2865
Mailing address
80 CENTRAL PARK WEST # 12 F, NY, NY 10023
(417) 734-2865
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
R016955
NY
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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