Provider Demographics
NPI:1588848642
Name:SAID, RAZIA AMBLER (RPH)
Entity Type:Individual
Prefix:MRS
First Name:RAZIA
Middle Name:AMBLER
Last Name:SAID
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 W 118TH ST
Mailing Address - Street 2:#1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026-1809
Mailing Address - Country:US
Mailing Address - Phone:646-338-9044
Mailing Address - Fax:
Practice Address - Street 1:130 WEST 118TH ST
Practice Address - Street 2:#1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026
Practice Address - Country:US
Practice Address - Phone:646-338-9044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-26
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4023359183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist