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DR. MARK A RAIFMAN MD
NPI 1104800408
Pediatrics in Freeport, NY

Active since December 01, 2005
101 S BERGEN PL, FREEPORT, NY 11520(516) 442-7179(516) 442-7183 Get Directions Write a Review

NPPES record last updated: August 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark A Raifman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK A RAIFMAN MD (NPI 1104800408) is an individual pediatrics provider in Freeport, New York, licensed in New York (124183) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1104800408
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MARK A RAIFMANCredential: MD
Location Address101 S BERGEN PLFreeport, NY 11520-3528
Mailing AddressPo Box 390Freeport, NY 11520-0390 · (516) 779-2390 · Fax (516) 295-0317
Phone(516) 442-7179
Fax(516) 442-7183
Sole ProprietorNo
Enumeration DateDecember 1, 2005
Last NPPES UpdateAugust 5, 2014
✔ NPI 1104800408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 124183
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
101 S BERGEN PL, Freeport, NY 11520
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Other Identifiers 3

Medicare ID-Type Unspecified317051NY
MedicaidD0233156NY
Medicare UPINB12825

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KALPANA BALASUBRAMANIAN PHYSICAL THERAPIST
Physical Therapist
101 S BERGEN PL
FREEPORT, NY 11520
Nassau County (516) 623-3600
IRIS LAZO DH
Dental Hygienist
101 S BERGEN PL
FREEPORT, NY 11520
Nassau County (516) 623-3600
MR. PROLAY KUMER PAUL DDS
Dentist (General Practice)
101 S BERGEN PL
FREEPORT, NY 11520
Nassau County (516) 236-0000
DR. OLGA Y CELLERI-PINCUS DDS
Dentist
101 S BERGEN PL
FREEPORT, NY 11520
Nassau County (516) 623-3600
RAY PATRICK DAVID PT
Physical Therapist
101 S BERGEN PL
FREEPORT, NY 11520
Nassau County (516) 623-3600
SOUTH OCEAN CARE LLC
Clinic/Center
101 S BERGEN PL
FREEPORT, NY 11520
Nassau County (516) 623-3600
DANUZA VILELA
Dental Hygienist
101 S BERGEN PL
FREEPORT, NY 11520
Nassau County (516) 623-3600
DINA FARA
Dental Hygienist
101 S BERGEN PL
FREEPORT, NY 11520
Nassau County (516) 546-9077

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Raifman's NPI number?

The NPI number for Mark Raifman is 1104800408. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Mark Raifman located?

Mark Raifman practices at 101 S Bergen Pl, Freeport, NY 11520. The listed phone number is (516) 442-7179.

What is Mark Raifman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Mark Raifman was last updated on August 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.