Provider Demographics
NPI:1437158151
Name:RAYKHER, ALEKSANDRA (MD)
Entity type:Individual
Prefix:
First Name:ALEKSANDRA
Middle Name:
Last Name:RAYKHER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8100 BAY PKWY # 5
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-2548
Mailing Address - Country:US
Mailing Address - Phone:718-421-9070
Mailing Address - Fax:718-421-9073
Practice Address - Street 1:8100 BAY PKWY # 5
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-2548
Practice Address - Country:US
Practice Address - Phone:718-421-9070
Practice Address - Fax:718-421-9073
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-14
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207506207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01798067Medicaid
NY01798067Medicaid
NYG63347Medicare UPIN