Organization
ELITE HEALTHCARE MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRVING G RAPHAEL MD (PARTNER)
(315) 701-4000
Entity
Organization
Contact information
Practice address
8100 OSWEGO RD, SUITE 105, LIVERPOOL, NY 13090-1654
(315) 701-4024
Mailing address
1001 W FAYETTE ST, SUITE 400, SYRACUSE, NY 13204-2856
(315) 472-1488
(315) 476-1792
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03397082
—
NY
Enumeration date
03/07/2012
Last updated
03/08/2012
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