Individual ProviderRaisa SalehStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressDept. Of Family Medicine, Mail Code: 21, 391 Myrtle Avenue, Albany, NY 12208(518) 264-2866PECOS EnrollmentBased on the most recent information from CMS, provider Raisa Saleh does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:05 AM.Profile DetailsProvider ID1306524301Provider TypeIndividualFull NameSaleh, RaisaCredentialMBBSGenderFemaleSole ProprietorNoEnumeration Date7/10/2023Last Updated7/10/2023Contact InformationPractice LocationPractice AddressDept. Of Family Medicine, Mail Code: 21, 391 Myrtle Avenue, Albany, NY 12208Phone(518) 264-2866FaxUnlisted FaxMailing LocationMailing AddressDept. Of Family Medicine, Mail Code: 21, 391 Myrtle Avenue, Albany, NY 12208PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense64823