MR. Ryan Joseph Raiola, PHYSICIAN ASSISTANT

NPI #1003381401 in Staten Island, New York

Provider Information

NPI Number: 1003381401
Entity Type: Individual
Name: MR. Ryan Joseph Raiola, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Oct 11, 2018
Last Updated: Oct 11, 2018

Practice Location

Address: 243 WATCHOGUE RD
City: Staten Island
State: New York
ZIP Code: 10314-3189
Phone: (347) 558-1455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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