Roni Rafailov
NPI #1184191801 in Forest Hills, New York
Provider Information
- NPI Number
- 1184191801
- Entity Type
- Individual
- Name
- Roni Rafailov
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 31, 2018
- Last Updated
- Apr 21, 2025
Practice Location
- Address
- 11835 QUEENS BLVD STE 400
- City
- Forest Hills
- State
- New York
- ZIP Code
- 11375-7211
- Phone
- (646) 722-7610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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