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General NPI Number Information
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NPI Number | 1578882916
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Entity Type | Individual
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Provider Name | SYED ALI RAZA RIZVI DO
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Gender | Male
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Dates
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Enumeration Date | 05/25/2010
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 506 LENOX AVE
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City | NEW YORK
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State | NY
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Zip | 10037-1889
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Country | US
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Telephone | 212-939-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 41 GERMANTOWN RD STE 101
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City | DANBURY
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State | CT
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Zip | 06810-4087
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Country | US
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Telephone | 203-794-5680
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 288656
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License Number State | NY
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