Dr. Rafael Vissepo-Barba, MD
Hospitalist in New York, NY. Individual provider (NPI-1).
NPI number1962021964
StatusActive
Last updated in NPPESMay 31, 2023
Details
- NPI
- 1962021964
- Entity type
- Individual (NPI-1)
- Name
- Dr. Rafael Vissepo-Barba
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2020
- Certification date
- May 31, 2023
- Last updated
- May 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 322765 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
622 W 168th St Rm 205New York, NY 10032-3720
Phone 212-305-6354
Mailing address
630 W 168th St # 4New York, NY 10032-3725
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