Individual
MADHAVI RAJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
292 MADISON AVE FL 2, NEW YORK, NY 10017-6323
(212) 751-9147
Mailing address
731 AUSTIN ST, WESTFIELD, NJ 07090-4445
(908) 789-1333
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
027295
NY
Other
Enumeration date
04/19/2009
Last updated
04/19/2009
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