Individual provider · Type 1 NPI
Mira Rafailov
Adult Health Nurse Practitioner · Forest Hills, NY
NPI number
1841994183
Active
Practice location
11247 Queens Blvd Ste 206
Forest Hills, NY 11375-7421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 309346 (NY) |
Adult Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1841994183
Mira Rafailov's National Provider Identifier is 1841994183, issued on Mar 29, 2023. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Forest Hills, NY. The record was last updated on Mar 29, 2023.