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Organization
NATALYA RAYTSES MEDICAL PC
Active
Organization
NATALYA RAYTSES MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALYA RAYTSES MD,DO (MEDICAL DIRECTOR)
(718) 275-2912
Entity
Organization
Contact information
Practice address
6514 108TH ST, FOREST HILLS, NY 11375-1856
(718) 275-2912
Mailing address
6514 108TH ST, FOREST HILLS, NY 11375-1856
(718) 275-2912
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
215157
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02077461
—
NY
01
—
215157
LICENSE
NY
Enumeration date
04/02/2008
Last updated
04/02/2008
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