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Individual

DR. NIKOLA RAGUSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1625 SAINT PETERS AVE, BRONX, NY 10461-3000
(718) 823-9227
(718) 823-3279
Mailing address
1625 SAINT PETERS AVE, BRONX, NY 10461-3000
(718) 823-9227
(718) 823-3279

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
245591
NY
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
245591
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03232446
NY
Enumeration date
07/03/2008
Last updated
05/26/2021
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