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1700306875
IRINA RAFAELOV
NEW YORK, NY
NPI
1700306875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 026541)
Enumeration Date
2017-06-21
Last Update Date
2017-06-21
Business Address
IRINA RAFAELOV
2987 FREDERICK DOUGLASS BLVD
NEW YORK, NY 10039-1324
Phone number: 212-360-1519
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Mailing Address
IRINA RAFAELOV
5028 UTOPIA PKWY
FRESH MEADOWS, NY 11365-1633
Phone number: 347-988-4477
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