Mr Ryan Joseph Raiola, PHYSICIAN ASSISTANT | |
243 Watchogue Rd, Staten Island, NY 10314-3189 | |
(347) 558-1455 | |
Not Available |
Full Name | Mr Ryan Joseph Raiola |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 243 Watchogue Rd, Staten Island, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003381401 | NPI | - | NPPES |
ZA62946C | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Ryan Joseph Raiola, PHYSICIAN ASSISTANT 243 Watchogue Rd, Staten Island, NY 10314-3189 Ph: (347) 558-1455 | Mr Ryan Joseph Raiola, PHYSICIAN ASSISTANT 243 Watchogue Rd, Staten Island, NY 10314-3189 Ph: (347) 558-1455 |
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