| Roni Rafailov Np Family Health Pc | |
|
21805 Grand Central Pkwy Queens Village NY 11427-1435 | |
| (718) 864-5734 | |
| Not Available |
| Full Name | Roni Rafailov Np Family Health Pc |
|---|---|
| Speciality | Clinical Nurse Specialist - Family Health |
| Location | 21805 Grand Central Pkwy, Queens Village, New York |
| Authorized Official Name and Position | Roni Rafailov (OWNER) |
| Authorized Official Contact | 7188645734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roni Rafailov Np Family Health Pc 21805 Grand Central Pkwy Queens Village NY 11427-1435 Ph: () - | Roni Rafailov Np Family Health Pc 21805 Grand Central Pkwy Queens Village NY 11427-1435 Ph: (718) 864-5734 |
| NPI Number | 1528894268 |
|---|---|
| Provider Enumeration Date | 09/10/2024 |
| Last Update Date | 09/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528894268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 364SF0001X | Clinical Nurse Specialist - Family Health | (* (Not Available)) | Primary |
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