Provider Demographics
NPI:1396011581
Name:LILKER, RAPHAEL (DPM)
Entity Type:Individual
Prefix:DR
First Name:RAPHAEL
Middle Name:
Last Name:LILKER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:291 BROADWAY RM 810
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-1912
Mailing Address - Country:US
Mailing Address - Phone:212-484-0922
Mailing Address - Fax:212-484-0921
Practice Address - Street 1:291 BROADWAY RM 810
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-1912
Practice Address - Country:US
Practice Address - Phone:212-484-0922
Practice Address - Fax:212-484-0921
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-01
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006450213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1255786331OtherNPI