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Individual

SIMON RASKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1409 GRAVESEND NECK RD, BROOKLYN, NY 11229-4322
(718) 332-7771
(888) 636-2212
Mailing address
1409 GRAVESEND NECK RD, BROOKLYN, NY 11229-4322
(718) 332-7771
(718) 332-1311

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005608
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02195893
NY
01
PK5251
BLUE CROSS BLUE SHIELD
NY
Enumeration date
11/24/2005
Last updated
10/17/2013
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