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1659852374
IRENE RAPHAEL
COMMACK, NY
NPI
1659852374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 308880)
Enumeration Date
2018-08-22
Last Update Date
2018-08-22
Business Address
IRENE RAPHAEL
66 COMMACK RD STE 20018
COMMACK, NY 11725-3405
Phone number: 631-858-2190
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Mailing Address
IRENE RAPHAEL
18 BETHAL LN
COMMACK, NY 11725-1004
Phone number: 631-827-9841
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