Healthcare Provider Details

I. General information

NPI: 1730142522
Provider Name (Legal Business Name): AFSHIN RAZI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 E 32ND ST 4TH FLOOR
NEW YORK NY
10016-6055
US

IV. Provider business mailing address

145 E 32ND ST 4TH FLOOR
NEW YORK NY
10016-6055
US

V. Phone/Fax

Practice location:
  • Phone: 212-427-3986
  • Fax: 212-996-5949
Mailing address:
  • Phone: 212-427-3986
  • Fax: 212-996-5949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number214516
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: