Davis, Raphael
Davis, Raphael is an individual health care provider with primary practice located at 24 Research Way Suite 200 New York Spine And Brain Surgery, East Setauket NY 11733. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Davis, Raphael can be contacted via phone (631) 444-1213.Contact Information
Primary practice address
24 Research Way Suite 200 New York Spine And Brain Surgery
East Setauket NY 11733
Phone: (631) 444-1213
Fax: (631) 444-1535
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 150592 | New York |
Profile Details
NPI number | 1386674810 |
---|---|
LBN Legal business name | Davis, Raphael |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 3rd, 2006 |
Last updated | Jun 16th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386674810 | NPPES |
New York | MEDICAID | 01018111 | |
New York | Other | 4286750 | |
New York | Other | 96D48 |
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