Individual ProviderAdetayo AbdulrazakStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1051 Riverside Dr # 103, New York, NY 10032-1007(646) 774-6300PECOS EnrollmentBased on the most recent information from CMS, provider Adetayo Abdulrazak does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1295421410Provider TypeIndividualFull NameAbdulrazak, AdetayoCredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/12/2023Last Updated4/12/2023Contact InformationPractice LocationPractice Address1051 Riverside Dr # 103, New York, NY 10032-1007Phone(646) 774-6300FaxUnlisted FaxMailing LocationMailing Address1051 Riverside Dr # 103, New York, NY 10032-1007Phone(646) 774-6300FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer