Natalya Raytses Medical Pc | |
6514 108th St Forest Hills NY 11375-1856 | |
(718) 275-2912 | |
Not Available |
Full Name | Natalya Raytses Medical Pc |
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Speciality | Family Medicine |
Location | 6514 108th St, Forest Hills, New York |
Authorized Official Name and Position | Natalya Raytses (MEDICAL DIRECTOR) |
Authorized Official Contact | 7182752912 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Natalya Raytses Medical Pc 6514 108th St Forest Hills NY 11375-1856 Ph: (718) 275-2912 | Natalya Raytses Medical Pc 6514 108th St Forest Hills NY 11375-1856 Ph: (718) 275-2912 |
NPI Number | 1558534289 |
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Provider Enumeration Date | 04/02/2008 |
Last Update Date | 04/02/2008 |
Medicare PECOS PAC ID | 7113902446 |
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Medicare Enrollment ID | O20040622000066 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558534289 | NPI | - | NPPES |
02077461 | Medicaid | NY | |
215157 | Other | NY | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 215157 (New York) | Primary |
Provider Name | Natalya Raytses |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922180587 PECOS PAC ID: 6103801436 Enrollment ID: I20040622000894 |
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