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Organization

NEW YORK SPINE & BRAIN SURGERY, UNIVERSITY FACULTY PRACTICE CORPORATIO

Active
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Organization

NEW YORK SPINE & BRAIN SURGERY, UNIVERSITY FACULTY PRACTICE CORPORATIO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAPHAEL P. DAVIS M.D. (CHAIR PERSON)
(631) 444-1116
Entity
Organization

Contact information

Practice address
SUNY @ STONY BROOK, HSC, L12, RM 080, STONY BROOK, NY 11794-0001
(631) 444-1116
Mailing address
PO BOX 1554, STONY BROOK, NY 11790-0988
(631) 444-1116

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00778285
NY
Enumeration date
05/24/2006
Last updated
10/06/2015
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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