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NPI Code Detail

MEDICARE: DR. DIONYSIA MAMAIS-RAPTIS MD

MEDICARE: DR. DIONYSIA MAMAIS-RAPTIS 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
1208000000XPediatrics Physician231406NY
2207R00000XInternal Medicine Physician231406NY

Other Identifiers

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

General Provider Information

NPI Number : 1912934829
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIONYSIA MAMAIS-RAPTIS MD
Provider Business Mailing Address
First Line : 4402 FRANCIS LEWIS BLVD
Second Line :
City : BAYSIDE
State : NY
Zip : 11361-3038
Country : US
Telephone Number : 718-631-0500
Fax Number : 718-281-1276
Provider Business Practice Location Address
First Line : 1225 GERARD AVE
Second Line :
City : BRONX
State : NY
Zip : 10452-8001
Country : US
Telephone Number : 718-960-2777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 12/12/2022

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