Provider Demographics
NPI:1427322536
Name:OFFICES FOR HEPATOBILIARY AND TUMOR SURGERY PC
Entity type:Organization
Organization Name:OFFICES FOR HEPATOBILIARY AND TUMOR SURGERY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:S
Authorized Official - Last Name:RACCUIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-263-8870
Mailing Address - Street 1:70A GREENWICH AVE.
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011
Mailing Address - Country:US
Mailing Address - Phone:212-263-8870
Mailing Address - Fax:646-501-5205
Practice Address - Street 1:530 1ST AVE
Practice Address - Street 2:SUITE 5C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-8870
Practice Address - Fax:646-501-5205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-07
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY196145-12086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical OncologyGroup - Single Specialty