Individual
ERIC RAISIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1983 MARCUS AVE STE E124, NEW HYDE PARK, NY 11042-2000
(516) 627-2121
Mailing address
26021 73RD AVE APT A, GLEN OAKS, NY 11004-1029
(516) 457-3440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023703
NY
Other
Enumeration date
05/05/2022
Last updated
11/19/2024
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