Individual
ALEX RACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1870 RICHMOND RD, STATEN ISLAND, NY 10306-2553
(718) 351-2192
(718) 980-6012
Mailing address
1870 RICHMOND RD, STATEN ISLAND, NY 10306-2553
(718) 351-2192
(718) 980-6012
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
206442
NY
207RC0000X
Cardiovascular Disease Physician
Primary
206442
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02118225
—
NY
Enumeration date
06/30/2006
Last updated
06/11/2008
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