MIRA RAFAILOV

FOREST HILLS, NY
NPI1841994183
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  309346)
Enumeration Date2023-03-29
Last Update Date2023-03-29
Business Address
MIRA RAFAILOV
11247 QUEENS BLVD STE 206
FOREST HILLS, NY 11375-7421
Phone number: 800-200-8196
Mailing Address
MIRA RAFAILOV
11247 QUEENS BLVD STE 206
FOREST HILLS, NY 11375-7421
Phone number:
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