MEDICARE: RAISA YEGER-ARBITMAN M.D.

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	208000000X	Pediatrics Physician	163714	NY

General Provider Information

NPI Number	:	1851630677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAISA YEGER-ARBITMAN M.D.

Provider Business Mailing Address
First Line	:	10210 66TH RD STE 1G
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-7608
Country	:	US
Telephone Number	:	718-997-0658
Fax Number	:

Provider Business Practice Location Address
First Line	:	10210 66TH RD STE 1G
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-7608
Country	:	US
Telephone Number	:	718-997-0658
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2013
Last Update Date	:	02/14/2013

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