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Organization

SHAYA RAYKHER MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAYA RAYKHER M.D. (PRESIDENT)
(718) 421-9070
Entity
Organization

Contact information

Practice address
1400 AVE Z, SUITE 202, BROOKLYN, NY 11235-3837
(718) 421-9070
(718) 421-9073
Mailing address
1400 AVE Z, SUITE 202, BROOKLYN, NY 11235-3837
(718) 421-9070
(718) 421-9073

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
211342
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01880024
NY
Enumeration date
07/14/2008
Last updated
02/17/2012
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