Individual
DR. RAPHY R REBANAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
134189
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00551799
—
NY
01
—
02113
MUP
—
01
—
040426006708
FIDELIS
—
01
—
1000052185
AFFINITY
—
01
—
10001688
CDPHP
—
01
—
74E73
BC
—
Enumeration date
09/12/2006
Last updated
07/08/2007
Update your record
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