Theodora C Raft Np, PC
NPI #1053063347 in East Setauket, New York
Provider Information
- NPI Number
- 1053063347
- Entity Type
- Organization
- Organization Name
- Theodora C Raft Np, PC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Jan 19, 2022
- Last Updated
- Jan 19, 2022
Practice Location
- Address
- 290 MAIN ST
- City
- East Setauket
- State
- New York
- ZIP Code
- 11733-2871
- Phone
- (631) 751-0441
Authorized Official
- Name
- THEODORA C RAFT, NP
- Title
- NP
- Phone
- (631) 617-2416
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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