Provider Demographics
NPI:1033535984
Name:RAPHAEL LILKER PODIATRIST PLLC
Entity Type:Organization
Organization Name:RAPHAEL LILKER PODIATRIST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RAPHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LILKER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:516-779-3654
Mailing Address - Street 1:172 BEACH 144TH ST
Mailing Address - Street 2:
Mailing Address - City:NEPONSIT
Mailing Address - State:NY
Mailing Address - Zip Code:11694-1113
Mailing Address - Country:US
Mailing Address - Phone:516-779-3654
Mailing Address - Fax:718-318-1488
Practice Address - Street 1:172 BEACH 144TH ST
Practice Address - Street 2:
Practice Address - City:NEPONSIT
Practice Address - State:NY
Practice Address - Zip Code:11694-1113
Practice Address - Country:US
Practice Address - Phone:516-779-3654
Practice Address - Fax:718-318-1488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-14
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006450213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty