Physician Compare National (NPI:1578634614)

HEALTHCARE PROVIDER: RAPHAEL LUIS VAZQUEZ M.D.

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

Individual Professional Information
NPI	1578634614
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1850572983
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110223000401
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	VAZQUEZ
	Individual professional last name
Provider First Name	RAPHAEL
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
	Individual professional's medical school
Graduation Year	1977
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	285 FORT WASHIGNTON AVE
	Group Practice or individual's line 1 address
City	NEW YORK
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	100321206
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2129270060
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y