Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN RAPHAEL, M.D.
Active Sole ProprietorBRIAN RAPHAEL, M.D. is a Obesity Medicine healthcare provider located in EAST SYRACUSE, New York. NPI 1205121324 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · EAST SYRACUSE, NY
Registration Details
- NPI Number
- 1205121324
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2011 (15.189974487502 yrs)
- Last Updated
- Nov 10, 2016
- Licenses
-
MT199988 (PA)262904 (MA)282257-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5823 WIDEWATERS PKWYSUITE 4EAST SYRACUSE, NY, 130573084Browse NY providers · Browse ZIP 13057
- Phone
- 3155007546
- Primary Specialty
-
Obesity Medicine
207ND0101X
- Additional Specialty
- Obesity Medicine
- Additional Specialty
- Obesity Medicine
Other Obesity Medicine Providers in EAST SYRACUSE, NY
| Name | Credential | NPI |
|---|---|---|
| SPHOORTHI JINNA | M. D. | 1588906028 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.