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Raisa Novofastovsky

NPI 1710950878 · on the registry since 2006 · sole proprietor

Practice

Address
1812 Quentin Rd
Suite M-2
Brooklyn, NY 11229
Phone
(718) 382-1773
Fax
(718) 382-3214
Organisation at this address
Victory Family Wellness Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
213E00000X
213E00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-08-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York