National Provider Identifier
Raphael Jerome Leo, MD
Raphael Jerome Leo, MD is listed in the NPPES registry with a primary specialty of Specialist in Buffalo, NY and a listed phone number of (716) 898-4857.
Profile Overview
- NPI
- 1063488062
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- February 28, 2006
- Last Updated
- July 08, 2007
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3021
Phone: (716) 898-4857
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1063488062
- Entity Type
- Individual
- Last Name
- Leo
- First Name
- Raphael
- Middle Name
- Jerome
- Credential
- MD
- Mailing Street Address
- 462 Grider St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-3021
- Mailing Country
- US
- Mailing Phone
- (716) 898-4857
- Mailing Fax
- (716) 898-3986
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 898-4857
- Practice Fax
- (716) 898-3986
- Enumeration Date
- February 28, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)
- Other Identifiers
- 01604737 (NY)