RAISA NOVOFASTOVSKY

BROOKLYN, NY
NPI1710950878
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy213E00000X Podiatrist
(Licence: NY  N 004903)
Enumeration Date2006-02-09
Last Update Date2013-08-19
Business Address
-- RAISA NOVOFASTOVSKY
1812 QUENTIN RD SUITE M-2
BROOKLYN, NY 11229-1336
Phone number: 718-382-1773
Mailing Address
-- RAISA NOVOFASTOVSKY
1812 QUENTIN RD SUITE M-2
BROOKLYN, NY 11229-1336
Phone number: 718-382-1773