Organization
NEW YORK SPINE AND BRAIN SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAPHAEL DAVIS M.D. (CHAIRMAN)
(631) 444-8070
Entity
Organization
Contact information
Practice address
HSC T12 RM 080, STONY BROOK, NY 11794-8122
(631) 444-8070
(631) 444-1535
Mailing address
HSC T12 RM 080, STONY BROOK, NY 11794-8122
(631) 444-8070
(631) 444-1535
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
305171
NY
Other
Enumeration date
08/26/2009
Last updated
11/16/2009
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