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Nadereh Rafat, M.d.p.c.
Medical Specialty Clinic/Center in Mount Vernon, New York
NPI 1841565389

Nadereh Rafat, M.d.p.c. is a Medical Specialty Clinic/Center based in Mount Vernon, NY and is specialized in Medical Specialty. Nadereh Rafat, M.d.p.c. practices in Mount Vernon, NY. The NPI Number for Nadereh Rafat, M.d.p.c. is 1841565389 and holds a License No. 145111 (New York).

The current practice location address for Nadereh Rafat, M.d.p.c. is 153 Stevens Ave, Mount Vernon, NY and can be reached out via phone at 914-667-1620 and via fax at 914-667-2421.

Location: 153 Stevens Ave, Mount Vernon, NY, 10550-2597
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841565389
Provider Name
Nadereh Rafat, M.d.p.c.
Credential
Provider Entity Type
Organization
Address
153 Stevens Ave, Mount Vernon, NY, 10550-2597
Phone Number
914-667-1620
Fax Number
914-667-2421
Provider Enumeration Date
03/16/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
79A912 01 NY MEDICARE PTAN #
00768107 05 NY
145111 01 NY LICENCE #
institution
Provider Business Practice Location Address Details
Address
153 Stevens Ave
City
Mount Vernon
State
New York
Zip
10550-2597
Phone Number
914-667-1620
Fax Number
914-667-2421
person
Provider Business Mailing Address Details
Address
153 Stevens Ave
City
Mount Vernon
State
New York
Zip
10550-2597
Phone Number
914-667-1620
Fax Number
914-667-2421
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
145111 (New York)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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