Provider Demographics
NPI:1801888425
Name:FIORINI, RAYMOND H (MD)
Entity type:Individual
Prefix:
First Name:RAYMOND
Middle Name:H
Last Name:FIORINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4567 CROSSROADS PARK DR
Mailing Address - Street 2:
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13088-3589
Mailing Address - Country:US
Mailing Address - Phone:315-295-2100
Mailing Address - Fax:315-295-2125
Practice Address - Street 1:6700 KIRKVILLE RD
Practice Address - Street 2:STE 201C
Practice Address - City:E SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-9305
Practice Address - Country:US
Practice Address - Phone:315-218-0064
Practice Address - Fax:315-218-0069
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-19
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY210784208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02094700Medicaid
NY02094700Medicaid
NYIA0680Medicare PIN
NYP00233746Medicare PIN