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Individual
RAYMOND REUBEN TARTAKOFF
Active
Individual
RAYMOND REUBEN TARTAKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R053380-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01727242
—
NY
01
—
1014020
BEACON HEALTH ID
NY
01
—
1280347
CIGNA ID
NY
01
—
157412000
MAGELLAN ID
NY
01
—
P2083481
OXFORD ID
NY
Enumeration date
05/02/2007
Last updated
07/29/2016
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