Mark A Raifman MD

NPI 1104800408 - Pediatrics - 208000000X

NPI Details
NPI 1104800408
Gender Male
Enumeration Date 12/01/2005
Last Updated 08/05/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
101 S BERGEN PL
FREEPORT NY, 11520-3528, US
Phone (516) 442-7179
Fax (516) 442-7183
Business Location
PO BOX 390
FREEPORT NY, 11520-0390, US
Phone (516) 779-2390
Fax (516) 295-0317
Toxanomy
Taxonomy Code 208000000X
License State New York
License Number 124183
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According to our database, Dr. Mark A Raifman MD NPI is 1104800408, taxonomy code is 208000000X and license number is 124183, license state is located at New York. Mark A Raifman MD physically located at 101 S Bergen Pl, Freeport NY, 11520-3528. NPI Number Mark A Raifman MD has the Individual type.

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1104800408 NPI number is provided on an as is basis without warranty of any kind. 1104800408 is maintained by the National Plan & Provider Enumeration System. The contents of Mark A Raifman MD are for informational purposes only.