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NPI Code Detail

MEDICARE: MARINA RAYTSINA M.S.

MEDICARE: MARINA RAYTSINA M.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist017028NY

General Provider Information

NPI Number : 1649474297
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARINA RAYTSINA M.S.
Provider Business Mailing Address
First Line : 1420 OCEAN PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-6454
Country : US
Telephone Number : 718-332-0080
Fax Number : 718-332-3365
Provider Business Practice Location Address
First Line : 2610 E 18TH ST
Second Line : SUITE 4
City : BROOKLYN
State : NY
Zip : 11235-3622
Country : US
Telephone Number : 718-332-0080
Fax Number : 718-332-3365
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2007
Last Update Date : 07/08/2007

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Directions to “ MARINA RAYTSINA M.S.” Practice Location

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