Individual
MS. KRISTIN RAZAWICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-2878
(315) 464-2879
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-2878
(315) 464-2879
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
382072
NY
363L00000X
Nurse Practitioner
Primary
382072
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03808422
—
NY
Enumeration date
10/19/2010
Last updated
10/21/2014
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