MEDICARE: RAISA YEGER-ARBITMAN ,MD

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
1	174400000X	Specialist	163714	NY

General Provider Information

NPI Number	:	1477611655
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAISA YEGER-ARBITMAN ,MD

Provider Business Mailing Address
First Line	:	10210 66TH RD
Second Line	:	1G
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-2000
Country	:	US
Telephone Number	:	718-997-0658
Fax Number	:	718-275-5677

Provider Business Practice Location Address
First Line	:	102-10 66TH RD
Second Line	:	1G
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-2047
Country	:	US
Telephone Number	:	718-997-0658
Fax Number	:	718-275-5677

Authorized Official
Title or Position	:	MD
Name	:	DR. RAISA YEGER-ARBITMAN
Credential	:
Telephone Number	:	718-997-0658

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	02/14/2013

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