Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miriam Raitport

Individual provider Physician Assistant · NPI 1013840024

Miriam Raitport is a Physician Assistant in Central Islip, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

225 Eastview Dr
Central Islip, NY 11722-4539
Phone: (000) 000-0000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (NY)

Record details

NPI number1013840024
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 8, 2026
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing address678 Crown St, Brooklyn, NY 11213-5304

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