Mr Ryan Joseph Raiola, PHYSICIAN ASSISTANT in Staten Island, NY - Physician Assistant

Mr Ryan Joseph Raiola, PHYSICIAN ASSISTANT is a Physician Assistant based in Staten Island, New York. Mr Ryan Joseph Raiola is licensed to practice in * (Not Available) (license number ) and his current practice location is 243 Watchogue Rd, Staten Island, New York. He can be reached at his office (for appointments etc.) via phone at (347) 558-1455.

NPI number for Mr Ryan Joseph Raiola is 1003381401 and his current mailing address is 243 Watchogue Rd, Staten Island, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003381401.

Contact Information

	Mr Ryan Joseph Raiola, PHYSICIAN ASSISTANT
	243 Watchogue Rd, Staten Island, NY 10314-3189
	(347) 558-1455
	Not Available

Provider's Profile

Full Name	Mr Ryan Joseph Raiola
Gender	Male
Speciality	Physician Assistant
Location	243 Watchogue Rd, Staten Island, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1003381401
Provider Enumeration Date: 10/11/2018
Last Update Date: 10/11/2018

Medical Identifiers

Medical identifiers for Mr Ryan Joseph Raiola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003381401	NPI	-	NPPES
ZA62946C	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Ryan Joseph Raiola is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Ryan Joseph Raiola, PHYSICIAN ASSISTANT 243 Watchogue Rd, Staten Island, NY 10314-3189 Ph: (347) 558-1455	Mr Ryan Joseph Raiola, PHYSICIAN ASSISTANT 243 Watchogue Rd, Staten Island, NY 10314-3189 Ph: (347) 558-1455

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Mr Ryan Joseph Raiola, PHYSICIAN ASSISTANT - Physician Assistant in Staten Island, NY