Raphael, Michal
Raphael, Michal is an sole proprietor health care provider with primary practice located at 5008 Brittonfield Pkwy Ste 700 , East Syracuse NY 13057-9249. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Raphael, Michal can be contacted via phone (315) 472-7504.Contact Information
Primary practice address
5008 Brittonfield Pkwy Ste 700
East Syracuse NY 13057-9249
Phone: (315) 472-7504
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 024121 | New York |
Profile Details
| NPI number | 1174181499 |
|---|---|
| LBN Legal business name | Raphael, Michal |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2019 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174181499 | NPPES |
| Other | 024121 | PA LICENSE |
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