Individual
DR. RAPHAEL CLYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
630 W 168TH ST, P&S 8-510, NEW YORK, NY 10032-3725
(212) 305-5289
(212) 305-1392
Mailing address
630 W 168TH ST, P&S 8-510, NEW YORK, NY 10032-3725
(212) 305-5289
(212) 305-1392
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
190259-1
NY
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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