RAPHAEL JEROME LEO


Address: 462 Grider St, Buffalo, NY 14215-3021
Phone: 7168984857

RAPHAEL JEROME LEO (NPI# 1063488062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063488062
Entity Type Individual
Full Name RAPHAEL JEROME LEO
Credential MD
Practice Address 462 Grider St
Buffalo
NY 14215-3021
Practice Telephone 7168984857
Practice Fax Number 7168983986
Mailing Telephone 7168984857
Mailing Fax Number 7168983986
Enumeration Date 2006-02-28
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 185977 NY Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 01604737 05

Office Location

Street Address 462 GRIDER ST
City BUFFALO
State NY
Zip Code 14215-3021

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831195395 Kara Anne Woods Physician Assistant 462 Grider St, Buffalo, NY 14215-3098 2005-06-21
1396355095 Jenna Elizabeth Nassar Hospitalist 462 Grider St, Buffalo, NY 14215-3098 2020-08-06
1962010272 Jannet Li Harkins Registered Nurse 462 Grider St, Buffalo, NY 14215-3021 2020-07-22
1831717172 Toluwanimi Mercy Aladesua Student in an Organized Health Care Education/Training Program 462 Grider St, Buffalo, NY 14215-3021 2020-07-13
1568088854 Elizabeth Ifeyironwa Onyechi Student in an Organized Health Care Education/Training Program 462 Grider St, Buffalo, NY 14215-3021 2020-06-22
1285257949 Jianhua Wu Student in an Organized Health Care Education/Training Program 462 Grider St, Buffalo, NY 14215-3021 2020-05-28
1710500277 Calvin James Meaney Pharmacist 462 Grider St, Buffalo, NY 14215-3098 2020-05-19
1033731963 Kaylyn Bunz Counselor 462 Grider St, Buffalo, NY 14215-3098 2020-05-14
1356963623 Holly Renee Johnson Student in an Organized Health Care Education/Training Program 462 Grider St, Buffalo, NY 14215-3021 2020-05-10
1023630522 Kevin Michael Todd Student in an Organized Health Care Education/Training Program 462 Grider St, Buffalo, NY 14215-3021 2020-05-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497366413 Krista Lea Marita Koskinen Student in an Organized Health Care Education/Training Program 462 Grider Street, 11th Floor, Erie County Medical Cent, Buffalo, NY 14215 2020-08-13
1851919112 Temitope Oluwaseun Ajayi Student in an Organized Health Care Education/Training Program 132 Affinity Lane, Buffalo, NY 14215 2020-07-13
1134741986 Alexandra Lucia Tibil Student in an Organized Health Care Education/Training Program 462 Grider Street, Erie County Medical Center David K., Buffalo, NY 14215 2020-05-15
1093336646 Sanjeevani Tomar Student in an Organized Health Care Education/Training Program University At Buffalo-suny, Department of Medicine, 462 Grider Street, Buffalo, NY 14215 2020-05-05
1982225926 Rohan Pandey Student in an Organized Health Care Education/Training Program 462 Grider St. Erie County Medical Center, Buffalo, NY 14215 2020-04-30
1235759911 Michael William O'donnell Student in an Organized Health Care Education/Training Program Erie County Medical Center Dk Miller Building, 462 Grider Street, Buffalo, NY 14215 2020-04-22
1780204883 Ishwor Sharma Student in an Organized Health Care Education/Training Program Ecmc 462, Grider Street, Dk Miller Bldg, First Floor, Room C100-b, Buffalo, NY 14215 2020-04-20
1174142632 Salman Masood Student in an Organized Health Care Education/Training Program 462 Grider Street Buffalo, Ny 14215, Buffalo, NY 14215 2020-04-14
1730718354 Charles Feng Hua Zhang Student in an Organized Health Care Education/Training Program Erie County Medical Center, 462 Grider Street, Buffalo, NY 14215 2020-04-06
1700415650 Joseph Charles L'huillier Student in an Organized Health Care Education/Training Program General Surgery Residency Program, Ecmc, Dk Miller Bdg, 462 Grider Street, Buffalo, NY 14215 2020-04-03
Find all providers in zip 14215

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy 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.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407323892 Ramiro Maldonado Specialist 64 Inwood Pl, Buffalo, NY 14209-1023 2018-10-24
1588169304 Kut Life Specialist 474 Hewitt Ave, Buffalo, NY 14215-1700 2018-03-25
1881124485 Mia Divirgilio Specialist 50 E. North St, Buffalo, NY 14203 2017-06-15
1073049870 Hillary Asbeck-wade Specialist 443 Parkside Ave, Buffalo, NY 14216-3406 2017-05-11
1720510969 Lidia J Snyder Specialist 99 Lancaster Ave, Buffalo, NY 14222-1403 2017-03-28
1821537234 Joyelle Richter Specialist 8277 Vernon Cir, Buffalo, NY 14221-6134 2017-02-17
1699212936 Corinne M Kindzierski Specialist 10 Gresham Dr, Buffalo, NY 14226-2944 2017-01-25
1679020655 Rebekah Lee Balsano Specialist 332 Bedford Ave, Buffalo, NY 14216-3135 2016-09-07
1295191229 Janine Ortman Specialist 121 Ellicott St, Buffalo, NY 14203-2601 2016-01-06
1033512975 Mary Collins Specialist 32 W Oakwood Pl, Buffalo, NY 14214-2308 2014-10-07
Find all providers in BUFFALO

Competitor

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City BUFFALO
Zip Code 14215

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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