Provider Demographics
NPI:1417041567
Name:RAZZA, MARIA P (PT,DPT, MA)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:P
Last Name:RAZZA
Suffix:
Gender:F
Credentials:PT,DPT, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 RYE RIDGE PLAZA
Mailing Address - Street 2:PHYSICAL THERAPY GROUP OF WESTCHESTER PC SUITE 219
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573
Mailing Address - Country:US
Mailing Address - Phone:914-253-6457
Mailing Address - Fax:914-253-6458
Practice Address - Street 1:10 RYE RIDGE PLAZA
Practice Address - Street 2:PHYSICAL THERAPY GROUP OF WESTCHESTER PC SUITE 219
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573
Practice Address - Country:US
Practice Address - Phone:914-253-6457
Practice Address - Fax:914-253-6458
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0047301225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ53541Medicare PIN