Provider Demographics
NPI:1770671927
Name:RAZ, ANAT (MS, LAC)
Entity Type:Individual
Prefix:MS
First Name:ANAT
Middle Name:
Last Name:RAZ
Suffix:
Gender:F
Credentials:MS, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 HORSESHOE CIR APT 2
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-2045
Mailing Address - Country:US
Mailing Address - Phone:914-944-9424
Mailing Address - Fax:914-244-3353
Practice Address - Street 1:25 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-2318
Practice Address - Country:US
Practice Address - Phone:914-244-0569
Practice Address - Fax:914-244-3353
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000974-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist