Individual
RAYMONDA RASTEGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
148 E 38TH ST, NEW YORK, NY 10016-2607
(212) 679-8844
(212) 684-4841
Mailing address
148 E 38TH ST, NEW YORK, NY 10016-2607
(212) 679-8844
(212) 684-4841
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
188876
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
NY
Enumeration date
08/12/2006
Last updated
07/08/2007
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