Raisa Kravchuk
Specialist in Staten Island, New York
1356749758- Practice location
- 719 Barlow Ave, Staten Island, NY 10312-2051
- Phone
- 917-685-1272
- Fax
- —
- Last updated
- December 17, 2014
Raisa Kravchuk is a Specialist based in Staten Island, NY. Raisa Kravchuk practices in Staten Island, NY. The NPI Number for Raisa Kravchuk is 1356749758 and holds a License No. 847327141 (NY). The current practice location address for Raisa Kravchuk is 719 Barlow Ave, Staten Island, NY 10312-2051 and can be reached out via phone at 917-685-1272.
Provider Profile Details
- NPI Number
- 1356749758
- Provider Name
- Raisa Kravchuk
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 719 Barlow Ave, Staten Island, NY 10312-2051
- Phone Number
- 917-685-1272
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 17, 2014
- Last Update Date
- December 17, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 719 Barlow Ave
Staten Island, NY 10312-2051 - City
- Staten Island
- State
- New York
- Zip
- 10312-2051
- Phone Number
- 917-685-1272
Provider Business Mailing Address Details
- Address
- 719 Barlow Ave
Staten Island, NY 10312-2051 - City
- Staten Island
- State
- NY
- Zip
- 10312-2051
License Information
- License Number (1)
- 847327141
- License State (1)
- NY
- Taxonomy (1)
- Specialist · 174400000X · Primary
- License Number (2)
- 847327141
- License State (2)
- NY
- Taxonomy (2)
- Developmental Therapist · 222Q00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Staten Island, NY
View all Specialists in Staten Island →Frequently Asked Questions
What is the NPI number of Raisa Kravchuk?
The NPI number of Raisa Kravchuk is 1356749758. It was assigned on December 17, 2014 and is currently active in the NPPES registry.
What is the specialty of Raisa Kravchuk?
Raisa Kravchuk is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 847327141.
Where does Raisa Kravchuk practice?
The practice location is 719 Barlow Ave, Staten Island, NY 10312-2051. The office can be reached at 917-685-1272 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356749758 directly on the NPPES registry website.