Organization
ELYSE S RAFAL M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELYSE S RAFAL M D (PRESIDENT)
(631) 689-0300
Entity
Organization
Contact information
Practice address
2500 ROUTE 347, BUILDING 22A, STONY BROOK, NY 11790-2555
(631) 689-0300
(631) 689-1153
Mailing address
2500 ROUTE 347, BUILDING 22A, STONY BROOK, NY 11790-2555
(631) 689-0300
(631) 689-1153
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
191543
NY
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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