person
Dr. Raymond Divasto, DPM
Foot Surgery Podiatrist in Webster, New York
NPI 1588629653

Raymond Divasto is a Foot Surgery Podiatrist based in Webster, NY and is specialized in Foot Surgery. Raymond Divasto practices in Webster, NY and has the professional credentials of DPM. The NPI Number for Raymond Divasto is 1588629653 and holds a License No. N005527 (New York).

The current practice location address for Raymond Divasto is 45 North Ave, Webster, NY and can be reached out via phone at 585-872-6520 and via fax at 585-872-6357.

Location: 45 North Ave, Webster, NY, 14580-3054
person
Provider Profile Details
NPI Number
1588629653
Provider Name
Raymond Divasto
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
45 North Ave, Webster, NY, 14580-3054
Phone Number
585-872-6520
Fax Number
585-872-6357
Provider Enumeration Date
04/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01955480 05 NY
institution
Provider Business Practice Location Address Details
Address
45 North Ave
City
State
Zip
14580-3054
Phone Number
585-872-6520
Fax Number
585-872-6357
person
Provider Business Mailing Address Details
Address
45 North Ave
City
State
Zip
14580-3054
Phone Number
585-872-6520
Fax Number
585-872-6357
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
N005527 (New York)
Definition
Definition to come...
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