Raphael P Davis (NPI# 1386674810, PAC ID# 2567352230) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1386674810 |
| PAC ID by PECOS | 2567352230 |
| Professional Enrollment ID | I20100224000317 |
| Full Name | Raphael P Davis |
| Organization Legal Name | NEW YORK SPINE AND BRAIN SURGERY, UNIVERSITY FACULTY PRACTICE CORPORAT |
| Address |
100 Nicolls Rd Stony Brook NY 11794-8122 |
| Phone Number | 6314441213 |
| Gender | M |
| Medical School | MOUNT SINAI SCHOOL OF MEDICINE OF CITY UNIVERSITY OF NEW YORK |
| Graduation Year | 1981 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 7719876796 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330393 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
| 330246 | ST CHARLES HOSPITAL |
| 330106 | NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET |
| Address | Phone | Organization |
|---|---|---|
| 100 Nicolls Rd, Stony Brook, NY 11794-8122 | 6314441213 | NEW YORK SPINE AND BRAIN SURGERY, UNIVERSITY FACULTY PRACTICE CORPORAT |
| 101 Nicolls Rd, Stony Brook, NY 11794-8122 | 6314441213 | NEW YORK SPINE AND BRAIN SURGERY, UNIVERSITY FACULTY PRACTICE CORPORAT |
| Organization Legal Name | NEW YORK SPINE AND BRAIN SURGERY, UNIVERSITY FACULTY PRACTICE CORPORAT |
| Physicians | 46 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yelena Iglanova | Physician Assistant | New York Spine and Brain Surgery, University Faculty Practice Corporat | 100 Nicolls Rd, Stony Brook, NY 11794-8122 |
| Colleen M Christiansen | Physician Assistant | New York Spine and Brain Surgery, University Faculty Practice Corporat | 100 Nicolls Rd, Stony Brook, NY 11794-8122 |
| Michael A Longo | Physician Assistant | New York Spine and Brain Surgery, University Faculty Practice Corporat | 100 Nicolls Rd, Stony Brook, NY 11794-8122 |
| Charles B Mikell Iii | Neurosurgery | New York Spine and Brain Surgery, University Faculty Practice Corporat | 24 Research Way, Suite 200, East Setauket, NY 11733-3470 |
| Dominic A Bracco | Physician Assistant | New York Spine and Brain Surgery, University Faculty Practice Corporat | 100 Nicolls Rd, Stony Brook, NY 11794-8122 |
| Erin V Taveras | Physician Assistant | New York Spine and Brain Surgery, University Faculty Practice Corporat | 100 Nicolls Rd, Stony Brook, NY 11794-8122 |
| Ricardo Aranguren | Physician Assistant | New York Spine and Brain Surgery, University Faculty Practice Corporat | 100 Nicolls Rd, Stony Brook, NY 11794-8122 |
| Heather A Ferraro | Physician Assistant | New York Spine and Brain Surgery, University Faculty Practice Corporat | 100 Nicolls Rd, Stony Brook, NY 11794-8122 |
| Sheryll A Baltazar | Nurse Practitioner | New York Spine and Brain Surgery, University Faculty Practice Corporat | 100 Nicolls Rd, Stony Brook, NY 11794-8122 |
| Colleen Calandra | Physician Assistant | New York Spine and Brain Surgery, University Faculty Practice Corporat | 100 Nicolls Rd, Stony Brook, NY 11794-8122 |
| Street Address |
100 NICOLLS RD |
| City | STONY BROOK |
| State | NY |
| Zip | 11794-8122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Avraham Y Bluestone | Diagnostic Radiology | Stony Brook Radiology, University Faculty Practice Corporation | 100 Nicolls Rd, Stony Brook, NY 11794-3407 |
| Christine F Campagna | Physician Assistant | University Associates In Obstetrics and Gynecology, University Faculty | 100 Nicolls Rd, Stony Brook, NY 11794-8091 |
| James W Bernasko | Obstetrics/gynecology | University Associates In Obstetrics and Gynecology, University Faculty | 100 Nicolls Rd, Stony Brook, NY 11794-8091 |
| Marlo K Dombroff | Physician Assistant | University Associates In Obstetrics and Gynecology, University Faculty | 100 Nicolls Rd, Stony Brook, NY 11794-8091 |
| Jennifer Griffin | Nurse Practitioner | University Associates In Obstetrics and Gynecology, University Faculty | 100 Nicolls Rd, Stony Brook, NY 11794-8091 |
| Todd R Griffin | Obstetrics/gynecology | University Associates In Obstetrics and Gynecology, University Faculty | 100 Nicolls Rd, Stony Brook, NY 11794-8091 |
| Amy L Demarco | Obstetrics/gynecology | University Associates In Obstetrics and Gynecology, University Faculty | 100 Nicolls Rd, Stony Brook, NY 11794-8091 |
| Daichi Hayashi | Diagnostic Radiology | Stony Brook Radiology, University Faculty Practice Corporation | 100 Nicolls Rd, Stony Brook, NY 11794-3407 |
| Yelena Iglanova | Physician Assistant | New York Spine and Brain Surgery, University Faculty Practice Corporat | 100 Nicolls Rd, Stony Brook, NY 11794-8122 |
| Arlene E Kaelber | Obstetrics/gynecology | University Associates In Obstetrics and Gynecology, University Faculty | 100 Nicolls Rd, Stony Brook, NY 11794-8091 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Narinder Singh | Hospitalist | Stony Brook Internists, University Faculty Practice Corporation | 100 Nicholls Rd, Nephrology, Stony Brook, NY 11794-0001 |
| Kartik M Mani | Radiation Oncology | Stony Brook Radiation Oncology, University Faculty Practice Corporatio | Hsp, L2, Stony Brook, NY 11794-0001 |
| Adeeb E Yacoub | Psychiatry | Stony Brook Psychiatric Associates, University Faculty Practice Corpor | 100 Nicolls, 8101 Suny Hsc Lvl Rm 048, Stonybrook, NY 11794-0001 |
| Daryn H Moller | Anesthesiology | Stony Brook Anaesthesiology University Faculty Practice Corporation | 3 Edmund D Pellegrino Rd, Stony Brook, NY 11794-0001 |
| Nariman S Boyle | Ophthalmology | Stony Brook Ophthalmology, University Faculty Practice Corporation | 101 Nicolls Rd, Stony Brook, NY 11794-0001 |
| Ellen Li | Gastroenterology | Stony Brook Internists, University Faculty Practice Corporation | 100 Nicholls Rd, Stony Brook, NY 11794-0001 |
| Grace N Latorre | Hospice/palliative Care | Stony Brook Internists, University Faculty Practice Corporation | 100 Nicholls Rd, Stony Brook, NY 11794-0001 |
| Munirah Mazhar Hasan | Hospitalist | Stony Brook Internists, University Faculty Practice Corporation | 100 Nicholls Rd, Nephrology, Stony Brook, NY 11794-0001 |
| Kanwal Farooq | Hospitalist | Stony Brook Internists, University Faculty Practice Corporation | 100 Nicholls Rd, Nephrology, Stony Brook, NY 11794-0001 |
| William H Vuong | Anesthesiology | Stony Brook Anaesthesiology University Faculty Practice Corporation | 3 Edmund D Pellegrino Rd, Stony Brook, NY 11794-0001 |
| Find all physicians in zip 11794 | |||
| City | STONY BROOK |
| Zip Code | 11794 |
| Specialty | NEUROSURGERY |
| City + Specialty | STONY BROOK + NEUROSURGERY |
Please comment or provide details below to improve the information on Raphael P Davis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.