MEDICARE: MICHAEL M RAFFINAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	227304	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346202322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL M RAFFINAN MD

Provider Business Mailing Address
First Line	:	111 BROADWAY 1302
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10006-1935
Country	:	US
Telephone Number	:	212-537-5039
Fax Number	:	212-227-2377

Provider Business Practice Location Address
First Line	:	33 8TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11217-3901
Country	:	US
Telephone Number	:	609-430-2922
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	08/27/2015

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