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Mira Rafailov
Adult Health Nurse Practitioner in Forest Hills, New York
NPI 1841994183

Mira Rafailov is an Adult Health Nurse Practitioner based in Forest Hills, NY and is specialized in Adult Health. Mira Rafailov practices in Forest Hills, NY. The NPI Number for Mira Rafailov is 1841994183 and holds a License No. 309346 (New York).

The current practice location address for Mira Rafailov is 11247 Queens Blvd Ste 206, Forest Hills, NY and can be reached out via phone at 800-200-8196.

Location: 11247 Queens Blvd Ste 206, Forest Hills, NY, 11375-7421
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841994183
Provider Name
Mira Rafailov
Credential
Provider Entity Type
Individual
Gender
Female
Address
11247 Queens Blvd Ste 206, Forest Hills, NY, 11375-7421
Phone Number
800-200-8196
Fax Number
Provider Enumeration Date
03/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11247 Queens Blvd Ste 206
City
Forest Hills
State
New York
Zip
11375-7421
Phone Number
800-200-8196
Fax Number
person
Provider Business Mailing Address Details
Address
11247 Queens Blvd Ste 206
City
Forest Hills
State
New York
Zip
11375-7421
Phone Number
800-200-8196
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.
309346 (New York)
Definition
Definition to come...
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