# DR. RAYMOND J MOLLICA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1942252903
- **Gender:** Man
- **Credential:** D.P.M.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | N003020 | NY | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 06/11/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0000619-02 | AMERICHOICE | — |
| 01 | — | 000294640101 | HEALTH PLUS ID NUMBER | — |
| 05 | — | 00486580 | — | NY |
| 01 | — | 11163175917 | TOUCHSTONE | — |
| 01 | — | 163193 | ELDERPLAN PROVIDER NUMBER | NY |
| 01 | — | 18656 | GHI PROVIDER NUMBER | NY |
| 01 | — | 36621P | HIP PRIS \# PRIMARY OFFICE | — |
| 01 | — | 3C0207 | HEALTHNET ID NUMBER | — |
| 01 | — | 442480053 | RAIDROAD MEDICARE NUMBER | — |
| 01 | — | 50026P | HIP PRIS \#- SECOND OFFICE | — |
| 01 | — | BCBS | P3256 | — |
| 01 | — | N003020-B16 | HEALTHFIRST | — |
| 01 | — | P2174717 | OXFORD ID NUMBER | NY |