Healthcare Provider Details

I. General information

NPI: 1659146173
Provider Name (Legal Business Name): RAYMOND'S OF SCARSDALE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2023
Last Update Date: 11/15/2023
Certification Date: 11/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 CENTRAL PARK AVE
SCARSDALE NY
10583-1060
US

IV. Provider business mailing address

3630 HILL BLVD STE 203
JEFFERSON VALLEY NY
10535-1520
US

V. Phone/Fax

Practice location:
  • Phone: 914-713-3050
  • Fax: 914-713-3049
Mailing address:
  • Phone: 914-245-5151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: IRENE LABARBERA
Title or Position: ACCOUNTS MANAGER
Credential:
Phone: 914-245-5151