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1104844117
RAVEN DEVINCENZO
STATEN ISLAND, NY
NPI
1104844117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: NY 217324)
Enumeration Date
2006-07-17
Last Update Date
2007-07-09
Business Address
Dr. RAVEN DEVINCENZO M.D.
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9175
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Mailing Address
Dr. RAVEN DEVINCENZO M.D.
PO BOX 4652
WARREN, NJ 07059-0652
Phone number: 718-226-9175
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