Individual provider · Type 1 NPI

Raven Devincenzo, MD

Diagnostic Radiology Physician · Staten Island, NY

NPI number 1104844117 Active

Practice location

475 Seaview Ave
Staten Island, NY 10305-3436

Call (718) 226-9175 Map

Fax (718) 226-8198

Mailing address

PO Box 4652
Warren, NJ 07059-0652

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X217324 (NY)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1104844117

Raven Devincenzo, MD's National Provider Identifier is 1104844117, issued on Jul 17, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Staten Island, NY. The record was last updated on Jul 9, 2007.