Individual provider · Type 1 NPI

Roni Rafailov

Family Nurse Practitioner · Forest Hills, NY

NPI number 1184191801 Active

Practice location

11835 Queens Blvd Ste 400
Forest Hills, NY 11375-7211

Fax (347) 535-3970

Mailing address

9810 64th Ave Apt 4F
Rego Park, NY 11374-2502

Other practice locations

  • 9810 64th Ave Apt 4F, Rego Park, NY 11374-2502 · (718) 864-5734

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X343427 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1184191801

Roni Rafailov's National Provider Identifier is 1184191801, issued on Oct 31, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Forest Hills, NY. The record was last updated on Apr 21, 2025.