Individual
JOHN T RAFFALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MOUNT KISCO MEDICAL GROUP, PC, 90 SOUTH BEDFORD ROAD, MOUNT KISCO, NY 10549-3412
(914) 241-1050
(914) 242-1371
Mailing address
MOUNT KISCO MEDICAL GROUP, PC, 110 SOUTH BEDFORD ROAD, MOUNT KISCO, NY 10549-3412
(914) 241-1050
(914) 741-6874
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
185026
NY
207RI0200X
Infectious Disease Physician
Primary
185026
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01565273
—
NY
Enumeration date
05/24/2006
Last updated
06/13/2016
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