Raphael, Brad

Raphael, Brad is an individual health care provider with primary practice located at 5719 Widewaters Pkwy , Syracuse NY 13214-1985. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Raphael, Brad can be contacted via phone (315) 251-3100.

Contact Information

Primary practice address
5719 Widewaters Pkwy Syracuse NY 13214-1985
Phone: (315) 251-3100
Fax: (315) 449-9923
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 240654 New York
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 240654 New York

Profile Details

NPI number 1295992303
LBN Legal business name Raphael, Brad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2008
Last updated Apr 6th, 2018 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295992303 NPPES
New York MEDICAID 03371322

Popular Providers