All Medicaid billing entities listing DIVASTO, RAYMOND (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New York | 1 | $94K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | MONROE PODIATRY GROUP | WEBSTER, NY | Foot Surgery Podiatrist | $94K |