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Tyana Raynor, DO
Student in an Organized Health Care Education/Training Program in Riverhead, New York
NPI 1346687811

Tyana Raynor is a Student in an Organized Health Care Education/Training Program based in West Islip, NY. Tyana Raynor practices in Riverhead, NY and has the professional credentials of DO. The NPI Number for Tyana Raynor is 1346687811 and holds a License No. OS18820 (New York).

The current practice location address for Tyana Raynor is 1300 Roanoke Ave, Riverhead, NY and can be reached out via phone at 631-548-6446 and via fax at 631-727-0772.

Location: 1300 Roanoke Ave, Riverhead, NY, 11795-4927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346687811
Provider Name
Tyana Raynor
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1300 Roanoke Ave, Riverhead, NY, 11795-4927
Phone Number
631-548-6446
Fax Number
631-727-0772
Provider Enumeration Date
05/23/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1300 Roanoke Ave
City
Riverhead
State
New York
Zip
11901-2031
Phone Number
631-548-6446
Fax Number
631-727-0772
person
Provider Business Mailing Address Details
Address
1300 Roanoke Ave
City
Riverhead
State
New York
Zip
11901-2031
Phone Number
631-548-6446
Fax Number
631-727-0772
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Pediatric Radiology
Taxonomy
2085P0229X
License No.
()
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
05370 (Kentucky)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
OS18820 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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