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Raphael Jerome Leo, MD
Specialist in Buffalo, New York
NPI 1063488062

Raphael Jerome Leo is a Specialist based in Buffalo, NY. Raphael Jerome Leo practices in Buffalo, NY and has the professional credentials of MD. The NPI Number for Raphael Jerome Leo is 1063488062 and holds a License No. 185977 (New York).

The current practice location address for Raphael Jerome Leo is 462 Grider St, Buffalo, NY and can be reached out via phone at 716-898-4857 and via fax at 716-898-3986.

Location: 462 Grider St, Buffalo, NY, 14215-3021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063488062
Provider Name
Raphael Jerome Leo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
462 Grider St, Buffalo, NY, 14215-3021
Phone Number
716-898-4857
Fax Number
716-898-3986
Provider Enumeration Date
02/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01604737 05 NY
institution
Provider Business Practice Location Address Details
Address
462 Grider St
City
Buffalo
State
New York
Zip
14215-3021
Phone Number
716-898-4857
Fax Number
716-898-3986
person
Provider Business Mailing Address Details
Address
462 Grider St
City
Buffalo
State
New York
Zip
14215-3021
Phone Number
716-898-4857
Fax Number
716-898-3986
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
185977 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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