# TIPUL MEDICAL P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649158502
- **Authorized official:** DR. PAULINE RAITSES DO (PRESIDENT)
- **Authorized official phone:** (609) 575-9917

## Contact information

- **Practice address:** 3692 BEDFORD AVE APT 6C, BROOKLYN, NY 11229-1715
- **Practice address phone:** (609) 575-9917
- **Mailing address:** 2579 E 17TH ST STE 58, BROOKLYN, NY 11235-3515
- **Mailing address phone:** (609) 575-9917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/26/2025
- **Last updated:** 08/26/2025