Provider Demographics
| NPI: | 1013282870 |
|---|---|
| Name: | CAREONE MEDICAL, PC |
| Entity type: | Organization |
| Organization Name: | CAREONE MEDICAL, PC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | ALEKSANDRA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | RAYKHER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MD |
| Authorized Official - Phone: | 917-881-5052 |
| Mailing Address - Street 1: | 8100 BAY PKWY |
| Mailing Address - Street 2: | # 5N |
| Mailing Address - City: | BROOKLYN |
| Mailing Address - State: | NY |
| Mailing Address - Zip Code: | 11214-2548 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 917-881-5052 |
| Mailing Address - Fax: | 718-226-6981 |
| Practice Address - Street 1: | 8100 BAY PKWY |
| Practice Address - Street 2: | # 5N |
| Practice Address - City: | BROOKLYN |
| Practice Address - State: | NY |
| Practice Address - Zip Code: | 11214-2548 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 917-881-5052 |
| Practice Address - Fax: | 718-226-6981 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2012-03-13 |
| Last Update Date: | 2012-03-13 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| NY | 207506 | 207R00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Single Specialty |