Organization · Type 2 NPI

Raza Medical

Podiatric Clinic/Center · Valley Stream, NY

NPI number 1255510046 Active

Practice location

1221 Dutch Broadway
Valley Stream, NY 11580-1512

Specialties and licenses

TaxonomyCodeLicense
Podiatric Clinic/Center Primary 261QP1100X245735-1 (NY)

Podiatric Clinic/Center: Definition to come...

2 other providers at this address

About NPI 1255510046

Raza Medical's National Provider Identifier is 1255510046, issued on Oct 29, 2007. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Valley Stream, NY. The record was last updated on Oct 29, 2007.