Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian Raphael, MD

Individual provider Internal Medicine Physician · NPI 1205121324

Brian Raphael, MD is a Dermatology in East Syracuse, New York. Graduated from Perelman School of Med at the University of Pennsylvania in 2011, 15 years ago. Practices with Empire Dermatology PLLC, a 14-clinician group and accepts Medicare assignment. Licensed in Massachusetts, New York and Pennsylvania.

Years since qualifying
15
Trained at
Perelman School of Med at the University of Pennsylvania
Licensed in
MA, NY, PA
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5823 Widewaters Pkwy Ste 4
East Syracuse, NY 13057-3084
Phone: (315) 500-7546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 282257-1 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence MT199988 (PA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 262904 (MA)

Record details

NPI number1205121324
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 16, 2011
Last updated in NPPESNovember 10, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolPERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated 2011 (15 years in practice)
Group practice Empire Dermatology Pllc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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