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Individual
RUSSELL W RASKIN
Active
Individual
RUSSELL W RASKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
2147091
NY
207R00000X
Internal Medicine Physician
Primary
214709
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02393873
—
NY
Enumeration date
01/03/2007
Last updated
01/13/2020
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