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1952054090
RAFAEL BACANI ROQUE
BROOKLYN, NY
NPI
1952054090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F346423)
Enumeration Date
2022-01-29
Last Update Date
2023-04-12
Business Address
RAFAEL BACANI ROQUE NP
150 55TH ST
BROOKLYN, NY 11220-2508
Phone number: 917-679-8317
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Mailing Address
RAFAEL BACANI ROQUE NP
9255 SHORE RD APT 2C
BROOKLYN, NY 11209-6538
Phone number:
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