MEDICARE: WALTER RAZA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207PP0204X	Pediatric Emergency Medicine (Emergency Medicine) Physician	149101	NY
2	207P00000X	Emergency Medicine Physician	149101	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154502276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WALTER RAZA M.D.

Provider Business Mailing Address
First Line	:	BROOKDALE HOSPITAL MEDICAL CENTER
Second Line	:	1 BROOKDALE PLAZA
City	:	BROOKLYN
State	:	NY
Zip	:	11212
Country	:	US
Telephone Number	:	718-240-5363
Fax Number	:

Provider Business Practice Location Address
First Line	:	BROOKDALE HOSPITAL MEDICAL CENTER
Second Line	:	1 BROOKDALE PLAZA
City	:	BROOKLYN
State	:	NY
Zip	:	11212
Country	:	US
Telephone Number	:	718-240-5132
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2007
Last Update Date	:	02/04/2026

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