Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 172663 | NY |
N | 207KA0200X | Allergist | 172663 | NY |
N | 2080P0201X | Pediatric Allergist | 172663 | NY |
NPI | 1306947775 |
---|---|
Provider Name | Dr. Raphael Eugene Strauss |
First Address | Commack, NY 11725-6021 |
Second Address | Commack, NY 11725-6021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E97226 | (02) | NY |