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1053063347
THEODORA C RAFT NP, PC
EAST SETAUKET, NY
NPI
1053063347
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Entity Type
Organization
Authorized Contact
THEODORA C RAFT
Np
631-617-2416
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2022-01-19
Last Update Date
2022-01-19
Business Address
THEODORA C RAFT NP, PC
290 MAIN ST
EAST SETAUKET, NY 11733-2871
Phone number: 631-751-0441
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Mailing Address
THEODORA C RAFT NP, PC
7 CREST CT
MIDDLE ISLAND, NY 11953-2135
Phone number:
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