Individual
DR. CAROLYN L RAIA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
360 BARD AVE, STATEN ISLAND, NY 10310-1666
(718) 876-2000
(718) 876-2006
Mailing address
360 BARD AVE, STATEN ISLAND, NY 10310-1666
(718) 876-2000
(718) 876-2006
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
183266
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01551308
—
NY
Enumeration date
03/25/2006
Last updated
07/08/2007
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