Individual
DR. ALFRED RACITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 ROUTE 25A, SUITE B1, MOUNT SINAI, NY 11766-2050
(631) 331-4403
(631) 331-1932
Mailing address
21 NIAGARA ST, MILLER PLACE, NY 11764-2617
(631) 744-6287
(631) 744-1238
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
167952
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01040573
—
NY
01
—
0255367018
CIGNA
NY
01
—
0C4370
PHS
NY
01
—
1649
VYTRA
NY
01
—
390006821
RAILROAD MEDICARE
NY
01
—
4337665
AETNA
NY
01
—
85D523
EMPIRE BCBS
NY
01
—
CS221
OXFORD
NY
01
—
PRV0004506
MONTEFIORE
NY
Enumeration date
08/11/2006
Last updated
06/27/2008
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