National Provider Identifier
Raymond Divasto, D.P.M.
Raymond Divasto, D.P.M. is listed in the NPPES registry with a primary specialty of Foot Surgery Podiatrist in Webster, NY and a listed phone number of (585) 872-6520.
Profile Overview
- NPI
- 1588629653
- Provider Type
- Individual
- Primary Specialty
- Foot Surgery Podiatrist
- Enumeration Date
- April 19, 2006
- Last Updated
- April 04, 2016
Practice Location
- 45 North Ave
- Webster, NY 14580-3054
Phone: (585) 872-6520
Specialties
- Foot Surgery Podiatrist (213ES0131X)
- Foot Surgery Podiatrist (213ES0131X)
Full Record
- NPI
- 1588629653
- Entity Type
- Individual
- Last Name
- Divasto
- First Name
- Raymond
- Name Prefix
- Dr.
- Credential
- D.P.M.
- Mailing Street Address
- 45 North Ave
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-3054
- Mailing Country
- US
- Mailing Phone
- (585) 872-6520
- Mailing Fax
- (585) 872-6357
- Practice Street Address
- 45 North Ave
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-3054
- Practice Country
- US
- Practice Phone
- (585) 872-6520
- Practice Fax
- (585) 872-6357
- Enumeration Date
- April 19, 2006
- Last Updated
- April 04, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Foot Surgery Podiatrist (213ES0131X), Foot Surgery Podiatrist (213ES0131X)
- Other Identifiers
- 01955480 (NY)