Provider Demographics
NPI:1588701254
Name:ZELTSMAN, RAISA (MD)
Entity type:Individual
Prefix:DR
First Name:RAISA
Middle Name:
Last Name:ZELTSMAN
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 1:63 SHELTER LN
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-2524
Mailing Address - Country:US
Mailing Address - Phone:631-956-7337
Mailing Address - Fax:
Practice Address - Street 1:150 SUNRISE HWY STE 200
Practice Address - Street 2:
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-2502
Practice Address - Country:US
Practice Address - Phone:631-956-7337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY237738-1208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics