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Organization

RAPHAEL REISS, A PHYSICIAN P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAPHAEL REISS M.D. (PRESIDENT)
(718) 544-8400
Entity
Organization

Contact information

Practice address
69-05 YELLOWSTONE BLVD., FOREST HILLS, NY 11375-3753
(718) 544-8400
(718) 263-5401
Mailing address
69-05 YELLOWSTONE BLVD., FOREST HILLS, NY 11375-3753
(718) 544-8400
(718) 263-5401

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
133426
NY
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
10/02/2006
Last updated
07/18/2022
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