Provider Demographics
NPI:1124027487
Name:PASTORE, RAYMOND DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:DAVID
Last Name:PASTORE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1300 YORK AVE # C6
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4805
Mailing Address - Country:US
Mailing Address - Phone:646-962-2065
Mailing Address - Fax:212-821-0758
Practice Address - Street 1:425 E 61ST ST FL 8
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-8722
Practice Address - Country:US
Practice Address - Phone:646-962-2065
Practice Address - Fax:212-821-0758
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY205053207RH0002X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3Z2121OtherEMPIRE BC/BS
NYH55475Medicare UPIN
NY042AOYQRQ1Medicare PIN