Provider Demographics
NPI:1417078767
Name:RAIO, DANIEL R (RPA-C)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:R
Last Name:RAIO
Suffix:
Gender:M
Credentials:RPA-C
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Other - First Name:
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Mailing Address - Street 1:148 NATURES LN
Mailing Address - Street 2:
Mailing Address - City:MILLER PLACE
Mailing Address - State:NY
Mailing Address - Zip Code:11764-3137
Mailing Address - Country:US
Mailing Address - Phone:631-636-6888
Mailing Address - Fax:631-209-5129
Practice Address - Street 1:148 NATURES LN
Practice Address - Street 2:
Practice Address - City:MILLER PLACE
Practice Address - State:NY
Practice Address - Zip Code:11764-3137
Practice Address - Country:US
Practice Address - Phone:631-636-6888
Practice Address - Fax:631-209-5129
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY011749363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant