Individual
MS. ELENA RAIKHERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 GREAVES LN STE D, STATEN ISLAND, NY 10308-2173
(718) 948-1353
(718) 948-1353
Mailing address
890 ARMSTRONG AVE, 1-3, STATEN ISLAND, NY 10308-1249
(718) 605-7592
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
7918
NY
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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