Provider Demographics
NPI:1437357100
Name:RAZ, ANAT (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANAT
Middle Name:
Last Name:RAZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 W 68TH ST APT 723
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-5813
Mailing Address - Country:US
Mailing Address - Phone:917-650-5523
Mailing Address - Fax:
Practice Address - Street 1:8 GRAMERCY PARK S APT 1C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-1725
Practice Address - Country:US
Practice Address - Phone:212-477-1647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049838-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice