Mr Toby Raju Sr, | |
760 Broadway, Brooklyn, NY 11206-5317 | |
(718) 963-8000 | |
Not Available |
Full Name | Mr Toby Raju Sr |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 760 Broadway, Brooklyn, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366102204 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 403761 (New York) | Primary |
Entity Name | New York City Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548208127 PECOS PAC ID: 4183535305 Enrollment ID: O20040322001521 |
Mailing Address | Practice Location Address |
---|---|
Mr Toby Raju Sr, 760 Broadway, Brooklyn, NY 11206-5317 Ph: (718) 963-8000 | Mr Toby Raju Sr, 760 Broadway, Brooklyn, NY 11206-5317 Ph: (718) 963-8000 |
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