Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XM0800X | Mental Health | 020482 | NY |
NPI | 1053941401 |
---|---|
Provider Name | Dr. Razan Hamed |
First Address | Township Of Washington, NJ 07676-5108 |
Second Address | New York, NY 10032-3925 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2020 |
Last Update Date | 23/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H03476448356811 | DMV DRIVER LICENSE (01) | NJ |