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Contact Information

JENNA M RAZEQ, PA-C
1000 N VILLAGE AVE
ROCKVILLE CENTRE, NY11570-1000
 Phone: 516-705-2525
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JENNA M RAZEQ · (Female)

NPI # 1164969333
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/26/2017
Last updated 01/26/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 020575
Hospital affiliation(s)
  • SOUTH NASSAU COMMUNITIES HOSPITAL - (Acute Care)
    ONE HEALTHY WAY
    OCEANSIDE, NY 11572
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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