IndividualActive
Leon Rafailov, M.D.
NPI 1396156121 · Ophthalmic Plastic and Reconstructive Surgery Physician · Smithtown, NY
Provider details
- NPI number
- 1396156121
- Entity type
- Individual
- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2018-00259 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
260 E Middle Country Rd Ste 201
Smithtown, NY 11787-2925
Phone: (631) 265-8780
Approximate (ZIP-level) locationGet directions
Mailing address
260 E Middle Country Rd Ste 201
Smithtown, NY 11787-2925
Registry dates
- Enumerated
- 2014-05-14
- Last updated
- 2025-01-17
- Certified
- 2025-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.