Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 035146 | CT |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 150901 | NY |
NPI | 1962518688 |
---|---|
Provider Name | Cathleen Raggio |
First Address | New York, NY 10087-9234 |
Second Address | Uniondale, NY 11553-3610 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 20/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00000278680 13 | EMPIRE PLAN (01) | NY |
00000278680 13 | UNITED HEALTHCARE (01) | NY |
00922770 | (05) | NY |
21003099125 | BEECH STREET (01) | NY |
49D992 | EMPIRE BCBS (01) | NY |
B15337 | (02) |