Healthcare Provider Details

I. General information

NPI: 1811190184
Provider Name (Legal Business Name): HEPATOBILIARY & TUMOR SURGERY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 7TH AVE SUITE 402
NEW YORK NY
10011-6609
US

IV. Provider business mailing address

70A GREENWICH AVE SUITE 101
NEW YORK NY
10011-8300
US

V. Phone/Fax

Practice location:
  • Phone: 212-647-0404
  • Fax: 212-647-0499
Mailing address:
  • Phone: 212-647-0404
  • Fax: 212-647-0499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH S RACCUIA
Title or Position: PRESIDENT
Credential:
Phone: 212-647-0404