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Individual

DR. RAPHAEL DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
24 RESEARCH WAY SUITE 200, NEW YORK SPINE AND BRAIN SURGERY, EAST SETAUKET, NY 11733
(631) 444-1213
(631) 444-1535
Mailing address
NEW YORK SPINE AND BRAIN SURGERY, HSC T12 RM 080, STONY BROOK, NY 11794-8122
(631) 444-1213
(631) 444-1535

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
150592
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01018111
NY
01
4286750
AETNA
NY
01
96D48
EMPIRE BC.BS
NY
Enumeration date
07/03/2006
Last updated
06/16/2014
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