RAFAEL BACANI ROQUE

BROOKLYN, NY
NPI1952054090
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F346423)
Enumeration Date2022-01-29
Last Update Date2023-04-12
Business Address
RAFAEL BACANI ROQUE NP
150 55TH ST
BROOKLYN, NY 11220-2508
Phone number: 917-679-8317
Mailing Address
RAFAEL BACANI ROQUE NP
9255 SHORE RD APT 2C
BROOKLYN, NY 11209-6538
Phone number: