Individual
TEEYA RAGHUNANDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 STATION PLZ N STE 305, MINEOLA, NY 11501-3893
(516) 663-1298
Mailing address
4683 MERRICK RD APT 1, MASSAPEQUA, NY 11758-6021
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N007434
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2022
Last updated
07/16/2025
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