Organization
RAFFI BARSOUMIAN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY RESTIVO (BILLING MANAGER)
(516) 794-4161
Entity
Organization
Contact information
Practice address
20 DEVINE AVE, SYOSSET, NY 11791-3721
(516) 287-1120
(516) 794-9568
Mailing address
20 DEVINE AVE, SYOSSET, NY 11791-3721
(516) 287-1120
(516) 794-9568
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
240858
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02935702
—
NY
Enumeration date
08/10/2009
Last updated
08/10/2009
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