Organization
VALENTIN RAKSIN, O.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALENTIN RAKSIN OD (PRESIDENT)
(718) 377-5649
Entity
Organization
Contact information
Practice address
1823 AVENUE M, BROOKLYN, NY 11230-5308
(718) 377-5649
Mailing address
426 DANBURY LN, EAST BRUNSWICK, NJ 08816-5116
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
27OA00578000
NJ
261QH0100X
Health Service Clinic/Center
Primary
TUV006253-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02087227
—
NY
05
—
8933308
—
NJ
Enumeration date
05/15/2012
Last updated
05/15/2012
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