RONI RAFAILOV

REGO PARK, NY
NPI1184191801
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  343427)
Enumeration Date2018-10-31
Last Update Date2018-10-31
Business Address
RONI RAFAILOV
9810 64TH AVE APT 4F
REGO PARK, NY 11374-2502
Phone number: 718-864-5734
Mailing Address
RONI RAFAILOV
9810 64TH AVE APT 4F
REGO PARK, NY 11374-2502
Phone number: 718-864-5734