Theresa Lee Raymond, PA-C
Physician Assistant in New York, NY. Individual provider (NPI-1).
NPI number1518954635
StatusActive
Last updated in NPPESJul 12, 2010
Details
- NPI
- 1518954635
- Entity type
- Individual (NPI-1)
- Name
- Ms. Theresa Lee Raymond
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2005
- Last updated
- Jul 12, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 008799 | NY | Yes |
| 363A00000X | Physician Assistant | 25MP00135200 | NJ | |
| 363A00000X | Physician Assistant | 008799-1 | NY |
Practice location
5 Harrison StKahn Dermatology
New York, NY 10013
Phone 212-619-0666
Mailing address
5 Harrison StKahn Dermatology
New York, NY 10013
Phone 212-619-0666
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