Individual
DR. MICHEAL HERSWIN RAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(631) 968-3000
Mailing address
301 E MAIN ST, BAY SHORE, NY 11706-8408
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
262963
NY
Other
Enumeration date
10/10/2011
Last updated
07/12/2016
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