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1699025635
ELYSE S RAFAL M D P C
STONY BROOK, NY
NPI
1699025635
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Entity Type
Organization
Authorized Contact
ELYSE S RAFAL
President
631-689-0300
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: NY 191543)
Enumeration Date
2012-09-18
Last Update Date
2012-09-18
Business Address
ELYSE S RAFAL M D P C
2500 ROUTE 347 BUILDING 22A
STONY BROOK, NY 11790-2555
Phone number: 631-689-0300
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Mailing Address
ELYSE S RAFAL M D P C
2500 ROUTE 347 BUILDING 22A
STONY BROOK, NY 11790-2555
Phone number: 631-689-0300
Copy
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