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Ragi Mamistvalov, OD

NPI 1871783472 · on the registry since 2007

Practice

Address
2707 Saddle Rock Road
Holbrook, NY 11741
Phone
(631) 319-1293
Clinicians at this address
2

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-04-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York