Individual
RAFFI BARSOUMIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
673 ORANGEBURGH RD, RIVERVALE, NJ 07675-6404
(516) 287-1120
Mailing address
673 ORANGEBURGH RD, RIVERVALE, NJ 07675-6404
(516) 287-1120
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
240858
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02935702
—
NY
Enumeration date
12/04/2006
Last updated
04/28/2010
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