Provider Demographics
NPI:1689839623
Name:RAZZOUK, SLEIMAN NAJIB (DDS)
Entity Type:Individual
Prefix:
First Name:SLEIMAN
Middle Name:NAJIB
Last Name:RAZZOUK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 E 34TH ST
Mailing Address - Street 2:APT# 4B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4918
Mailing Address - Country:US
Mailing Address - Phone:718-306-7812
Mailing Address - Fax:
Practice Address - Street 1:322 E 34TH ST
Practice Address - Street 2:APT# 4B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4918
Practice Address - Country:US
Practice Address - Phone:718-306-7812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-18
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053919122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist