Dr. Raven Devincenzo, MD
Radiology, Diagnostic Radiology in Staten Island, New York
1104844117- Practice location
- 475 Seaview Ave, Staten Island, NY 10305-3436
- Phone
- 718-226-9175
- Fax
- 718-226-8198
- Last updated
- July 9, 2007
Raven Devincenzo is a Radiology, Diagnostic Radiology based in Staten Island, NY. Raven Devincenzo practices in Staten Island, NY and has the professional credentials of MD. The NPI Number for Raven Devincenzo is 1104844117 and holds a License No. 217324 (NY). The current practice location address for Raven Devincenzo is 475 Seaview Ave, Staten Island, NY 10305-3436 and can be reached out via phone at 718-226-9175 and via fax at 718-226-8198.
Provider Profile Details
- NPI Number
- 1104844117
- Provider Name
- Raven Devincenzo
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 475 Seaview Ave, Staten Island, NY 10305-3436
- Phone Number
- 718-226-9175
- Fax Number
- 718-226-8198
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 17, 2006
- Last Update Date
- July 9, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 475 Seaview Ave
Staten Island, NY 10305-3436 - City
- Staten Island
- State
- New York
- Zip
- 10305-3436
- Phone Number
- 718-226-9175
- Fax Number
- 718-226-8198
Provider Business Mailing Address Details
- Address
- Po Box 4652
Warren, NJ 07059-0652 - City
- Warren
- State
- NJ
- Zip
- 07059-0652
- Phone Number
- 718-226-9175
- Fax Number
- 718-226-8198
License Information
- License Number
- 217324
- License State
- NY
- Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Raven Devincenzo, MD?
The NPI number of Dr. Raven Devincenzo, MD is 1104844117. It was assigned on July 17, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Raven Devincenzo, MD?
Dr. Raven Devincenzo, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in NY under license number 217324.
Where does Dr. Raven Devincenzo, MD practice?
The practice location is 475 Seaview Ave, Staten Island, NY 10305-3436. The office can be reached at 718-226-9175 (phone) or 718-226-8198 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104844117 directly on the NPPES registry website.