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Individual
DR. RAISA PUSTYLNIKOV
Active
Individual
DR. RAISA PUSTYLNIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
206096
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01733586
—
NY
01
—
102086
HERITAGE
NY
01
—
11-3552139
PHCS
NY
01
—
13252
ELDER PLAN
NY
01
—
206096
HIP
NY
01
—
2422571
AETNA HMO
NY
01
—
2595569
GHI
NY
01
—
4985397
CIGNA PPO, HMO, EPO
NY
01
—
4C6646
HEALTH NET(HMO)
NY
01
—
857141
EMPIRE BC/BS
NY
01
—
BK00611 04
AMERICHOICE
NY
01
—
P2115470
OXFORD
NY
Enumeration date
04/11/2006
Last updated
04/20/2017
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