Organization
VERRAZANO MEDICAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJA ASIF MASOOD M.D. (DIRECTOR)
(917) 640-6282
Entity
Organization
Contact information
Practice address
1487 RICHMOND RD, STATEN ISLAND, NY 10304-2311
(718) 979-3643
Mailing address
343 DONGAN HILLS AVE, STATEN ISLAND, NY 10305-2206
(917) 640-6282
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
257739
NY
Other
Enumeration date
04/21/2016
Last updated
05/10/2016
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