NPI 1205121324

Brian Raphael, MD

Practitioner MOHS-Micrographic Surgery Physician East Syracuse, NY

Practice location

Address: 5823 Widewaters Pkwy Suite 4, East Syracuse, NY 13057-3084
Phone: (315) 500-7546

Registered specialties (3)

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 282257-1 (NY)

Other Dermatology providers in New York →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence MT199988 (PA)

Other Internal Medicine providers in New York →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 262904 (MA)

Registry record

NPI: 1205121324
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jun 2011
Record last updated: 10 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.