Individual provider · Type 1 NPI
Irene Raphael
Adult Health Nurse Practitioner · Commack, NY
NPI number
1659852374
Active
Practice location
66 Commack Rd Ste 20018
Commack, NY 11725-3405
Mailing address
18 Bethal Ln
Commack, NY 11725-1004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 308880 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1659852374
Irene Raphael's National Provider Identifier is 1659852374, issued on Aug 22, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Commack, NY. The record was last updated on Aug 22, 2018.