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Individual

DR. RAFAEL MEDINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-6960
(607) 547-6574
Mailing address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3480

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
212374-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02110983
NY
Enumeration date
11/30/2005
Last updated
10/14/2025
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