Individual
CAROLYN RAZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37 SHADY CREEK RD, PLEASANT VALLEY, NY 12569-7800
(845) 559-7239
Mailing address
37 SHADY CREEK RD, PLEASANT VALLEY, NY 12569-7800
(845) 559-7239
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
269022-1
NY
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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