Individual
DEBORAH RAICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5B MEDICAL PARK DR, POMONA, NY 10970-3516
(845) 362-3111
(845) 362-3198
Mailing address
5B MEDICAL PARK DR, POMONA, NY 10970-3516
(845) 362-3111
(845) 362-3198
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
165731
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1081603
—
NY
01
—
1598934200
GROUP NPI
NY
01
—
1699838870
NPI
NY
Enumeration date
12/18/2006
Last updated
04/18/2008
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