Raisa Tsvaygenbaum
Podiatrist, Foot & Ankle Surgery in Lake Katrine, NY. Individual provider (NPI-1).
NPI number1629489166
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1629489166
- Entity type
- Individual (NPI-1)
- Name
- Raisa Tsvaygenbaum
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 19, 2014
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PODIATRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | N006874-1 | NY | Yes |
Practice location
1561 Rte 9wLake Katrine, NY 12449
Phone 845-231-5600 · Fax 845-339-1197
Mailing address
56 Victoria WayAlbany, NY 12209
Phone 518-248-7906
Other practice locations
355 Bard Ave
Staten Island, NY 10310-1664
Staten Island, NY 10310-1664
Phone 518-248-7906
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