Individual
DR. THEODORE RAFAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
95 GRASSLANDS RD, WESTCHESTER MEDICAL CENTER - DEPT OF RADIOLOGY, VALHALLA, NY 10595-1652
(914) 493-8881
Mailing address
PO BOX 253, WHITE PLAINS, NY 10602-0253
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
217476
NY
2085R0202X
Diagnostic Radiology Physician
Primary
217476
NY
Other
Enumeration date
05/27/2005
Last updated
06/13/2013
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