Provider Demographics
NPI:1851630677
Name:YEGER-ARBITMAN, RAISA (MD)
Entity Type:Individual
Prefix:
First Name:RAISA
Middle Name:
Last Name:YEGER-ARBITMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10210 66TH RD STE 1G
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-7608
Mailing Address - Country:US
Mailing Address - Phone:718-997-0658
Mailing Address - Fax:
Practice Address - Street 1:10210 66TH RD STE 1G
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-7608
Practice Address - Country:US
Practice Address - Phone:718-997-0658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-14
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY163714208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics