DR. RAISA PUSTYLNIKOV M.D. - NPI 1700849494 - Internal Medicine in Brooklyn, NY

Q: What is Raisa Pustylnikov's NPI number?

The NPI number for Raisa Pustylnikov is 1700849494. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Q: What is Raisa Pustylnikov's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Raisa Pustylnikov was last updated on April 20, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Raisa Pustylnikov M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAISA PUSTYLNIKOV M.D. (NPI 1700849494) is an individual internal medicine provider in Brooklyn, New York, licensed in New York (206096) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1700849494

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. RAISA PUSTYLNIKOVCredential: M.D.

Location Address1840 E 14TH STBrooklyn, NY 11229-2800

Mailing Address1840 E 14th StBrooklyn, NY 11229-2800 · (718) 680-1600 · Fax (718) 680-4473

Phone(718) 680-1600

Fax(718) 680-4473

Sole ProprietorNo

Enumeration DateApril 11, 2006

Last NPPES UpdateApril 20, 2017

✔ NPI 1700849494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 206096

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1840 E 14TH ST, Brooklyn, NY 11229

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Other Identifiers 15

Other13252NY · Elder Plan

Other4985397NY · Cigna Ppo, Hmo, Epo

Medicare UPING49895NY

Medicare PIN24N063E231NY

Other206096NY · Hip

Other11-3552139NY · Phcs

OtherBK00611 04NY · Americhoice

OtherP2115470NY · Oxford

Other11-3552139NY · 1199 Nbf

Other2422571NY · Aetna Hmo

Other2595569NY · Ghi

Other4C6646NY · Health Net(hmo)

Other102086NY · Heritage

Other857141NY · Empire Bc/bs

Medicaid01733586NY

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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