NPI 1003381401

Ryan Joseph Raiola, PHYSICIANASSISTANT

Practitioner Physician Assistant Staten Island, NY

Practice location

Address: 243 Watchogue Rd, Staten Island, NY 10314-3189
Phone: (347) 558-1455

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1003381401
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Oct 2018
Record last updated: 11 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.