Elyse S Rafal M D P C

NPI #1699025635 in Stony Brook, New York

Provider Information

NPI Number: 1699025635
Entity Type: Organization
Organization Name: Elyse S Rafal M D P C
Primary Specialty: Dermatology
Enumeration Date: Sep 18, 2012
Last Updated: Sep 18, 2012

Practice Location

Address: 2500 ROUTE 347
Address 2: BUILDING 22A
City: Stony Brook
State: New York
ZIP Code: 11790-2555
Phone: (631) 689-0300

Authorized Official

Name: DR. ELYSE S RAFAL, M D
Title: PRESIDENT
Phone: (631) 689-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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