Individual
DENA RAIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
775 PARK AVE STE 310, HUNTINGTON, NY 11743-7560
(631) 484-5547
Mailing address
52 HUDSON ST, FARMINGDALE, NY 11735-3724
(631) 484-5547
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
—
—
246ZA2600X
Medical Art Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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