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Irene Raphael
Adult Health Nurse Practitioner in Commack, New York
NPI 1659852374

Irene Raphael is an Adult Health Nurse Practitioner based in Commack, NY and is specialized in Adult Health. Irene Raphael practices in Commack, NY. The NPI Number for Irene Raphael is 1659852374 and holds a License No. 308880 (New York).

The current practice location address for Irene Raphael is 66 Commack Rd Ste 20018, Commack, NY and can be reached out via phone at 631-858-2190.

Location: 66 Commack Rd Ste 20018, Commack, NY, 11725-1004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659852374
Provider Name
Irene Raphael
Credential
Provider Entity Type
Individual
Gender
Female
Address
66 Commack Rd Ste 20018, Commack, NY, 11725-1004
Phone Number
631-858-2190
Fax Number
Provider Enumeration Date
08/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
66 Commack Rd Ste 20018
City
Commack
State
New York
Zip
11725-3405
Phone Number
631-858-2190
Fax Number
person
Provider Business Mailing Address Details
Address
66 Commack Rd Ste 20018
City
Commack
State
New York
Zip
11725-3405
Phone Number
631-858-2190
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
308880 (New York)
Definition
Definition to come...
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