BRIAN RAPHAEL

EAST SYRACUSE, NY
NPI1205121324
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: NY  282257-1)
Additional Taxonomies207R00000X Internal Medicine
(Licence: PA  MT199988)
207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: MA  262904)
Enumeration Date2011-06-16
Last Update Date2016-11-10
Business Address
-- BRIAN RAPHAEL M.D.
5823 WIDEWATERS PKWY SUITE 4
EAST SYRACUSE, NY 13057-3084
Phone number: 315-500-7546
Mailing Address
-- BRIAN RAPHAEL M.D.
5823 WIDEWATERS PKWY SUITE 4
EAST SYRACUSE, NY 13057-3084
Phone number: 315-500-7546