Individual
DR. VITALY RAYKHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2632 E 14TH ST, SUITE 101, BROOKLYN, NY 11235-3916
(718) 375-2100
(800) 349-4298
Mailing address
2632 E 14TH ST, SUITE 101, BROOKLYN, NY 11235-3916
(718) 375-2100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
208800000X
Urology Physician
Primary
220650
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02544916
—
NY
Enumeration date
08/11/2006
Last updated
04/12/2026
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