SearchNew York101YA0400X

Raymond Pettway, CASAC

NPI 1912625252 · on the registry since 2022

Practice

Address
141 S 3rd St
Brooklyn, NY 11211
Phone
(718) 782-6802
Organisation at this address
El Regreso, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-08-22

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