Individual
DR. RAUL JOSE MASAKAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
32 SETALCOTT PL, SETAUKET, NY 11733-1326
(631) 246-9276
Mailing address
32 SETALCOTT PL, SETAUKET, NY 11733-1326
(631) 848-3155
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
211412
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01883696
—
NY
01
—
9C3011
EMPIRE BLUECROSS BLUESHIE
NY
Enumeration date
11/10/2005
Last updated
11/11/2022
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