Organization
RAFFI BARSOUMIAN MD MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFFI BARSOUMIAN MD (OWNER)
(833) 248-6800
Entity
Organization
Contact information
Practice address
3 W MAIN ST, BAY SHORE, NY 11706-8307
(833) 248-6800
Mailing address
3 W MAIN ST, BAY SHORE, NY 11706-8307
(833) 248-6800
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240858
LICENSE
NY
Enumeration date
12/10/2018
Last updated
12/10/2018
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