Raphael, Brian

Raphael, Brian is an sole proprietor health care provider with primary practice located at 5823 Widewaters Pkwy Suite 4, East Syracuse NY 13057-3084. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Raphael, Brian can be contacted via phone (315) 500-7546.

Contact Information

Primary practice address
5823 Widewaters Pkwy Suite 4 East Syracuse NY 13057-3084
Phone: (315) 500-7546
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MT199988 Pennsylvania
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 262904 Massachusetts
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 282257-1 New York

Profile Details

NPI number 1205121324
LBN Legal business name Raphael, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2011
Last updated Nov 10th, 2016 - about 9 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.

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