RAPHAEL AUGUSTO CORREA BASTIANON SANTIAGO

BUFFALO, NY
NPI1922794403
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207T00000X Neurological Surgery
(Licence: NY  60-P13112101)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: CO  TL.0009866)
207T00000X Neurological Surgery
(Licence: FL  34231HSE)
Enumeration Date2023-04-17
Last Update Date2024-09-20
Business Address
RAPHAEL AUGUSTO CORREA BASTIANON SANTIAGO M.D.
100 HIGH ST
BUFFALO, NY 14203-1154
Phone number: 716-859-5600
Mailing Address
RAPHAEL AUGUSTO CORREA BASTIANON SANTIAGO M.D.
2950 CLEVELAND CLINIC BLVD
WESTON, FL 33331-3625
Phone number: