Organization
SIMON RASKIN DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON RASKIN DPM (PRESIDENT)
(718) 332-7771
Entity
Organization
Contact information
Practice address
1409 GRAVESEND NECK RD, BROOKLYN, NY 11229-4322
(718) 332-7771
Mailing address
1409 GRAVESEND NECK RD, BROOKLYN, NY 11229-4322
(718) 332-7771
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005608
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02195893
—
NY
01
—
PK5251
BLUE CROSS BLUE SHIELD
NY
Enumeration date
08/19/2006
Last updated
12/18/2014
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