Individual provider · Type 1 NPI

Raphael Jerome Leo, MD

Specialist · Buffalo, NY

NPI number 1063488062 Active

Practice location

462 Grider St
Buffalo, NY 14215-3021

Call (716) 898-4857 Map

Fax (716) 898-3986

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X185977 (NY)

Specialist: 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.

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About NPI 1063488062

Raphael Jerome Leo, MD's National Provider Identifier is 1063488062, issued on Feb 28, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Buffalo, NY. The record was last updated on Jul 8, 2007.