Individual provider · Type 1 NPI

Raisa D. Magazanik, MD

Mental Health Counselor · Philadelphia, PA

NPI number 1629377346 Active

Practice location

1701 Grant Ave
Philadelphia, PA 19115-3160

Fax (215) 464-3899

Mailing address

1801 Winchester Ave Apt B15
Philadelphia, PA 19115-4604

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1629377346

Raisa D. Magazanik, MD's National Provider Identifier is 1629377346, issued on Mar 21, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 21, 2011.