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Physician Compare National (NPI:1396011581)

HEALTHCARE PROVIDER: RAPHAEL LILKER DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1396011581
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1759525207
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20130924000004
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name LILKER
Individual professional last name
Provider First Name RAPHAEL
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name NEW YORK COLLEGE OF PODIATRIC MEDICINE
Individual professional's medical school
Graduation Year 2010
Individual professional's medical school graduation year
Primary Specialty PODIATRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 291 BROADWAY
Group Practice or individual's line 1 address
Line 2 Street Address RM 810
Group Practice or individual's line 2 address
City NEW YORK
Group Practice or individual's city
State NY
Group Practice or individual's state
Zip Code 100071912
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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