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Individual

CATHLEEN RAGGIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
333 EARLE OVINGTON BLVD, UNIONDALE, NY 11553-3610
(516) 222-6826
(516) 222-6893
Mailing address
PO BOX 29234, NEW YORK, NY 10087-9234
(631) 329-6925
(631) 329-6951

Taxonomy

Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
035146
CT
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
150901
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000278680 13
EMPIRE PLAN
NY
05
00922770
NY
01
21003099125
BEECH STREET
NY
01
49D992
EMPIRE BCBS
NY
Enumeration date
08/23/2006
Last updated
05/20/2016
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