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

Individual provider Specialist · NPI 1063488062

Raphael Jerome Leo, MD is a Psychiatry in Buffalo, New York. Graduated from State University of New York at Buffalo School of Medicine in 1990, 36 years ago. Practices with Kaleida Health, a 214-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
36
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NY
In the registry since
2006
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

462 Grider St
Buffalo, NY 14215-3021
Phone: (716) 898-4857
Fax: (716) 898-3986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 185977 (NY)

Record details

NPI number1063488062
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 28, 2006
Last updated in NPPESJuly 8, 2007
Mailing address462 Grider St, Buffalo, NY 14215-3021

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Also practisesPAIN MANAGEMENT
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Kaleida Health — 214 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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