Organization
RAISIG PHYSICAL MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERICLES HADJIYANE M.D. (PRESIDENT)
(516) 593-7990
Entity
Organization
Contact information
Practice address
1 RAISIG AVENUE, VALLEY STREAM, NY 11580-2525
(516) 593-7990
(516) 593-7991
Mailing address
1 RAISIG AVENUE, VALLEY STREAM, NY 11580-2525
(516) 593-7990
(516) 593-7991
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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