Individual
DR. RAFAEL VISSEPO-BARBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 W 168TH ST RM 205, NEW YORK, NY 10032-3720
(212) 305-6354
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
322765
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2020
Last updated
05/31/2023
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