Samantha Ann Raphael LPN

NPI 1417126558 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1417126558
Gender Female
Enumeration Date 02/22/2008
Last Updated 02/22/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
22 COOLIDGE CT
CORAM NY, 11727-3908, US
Phone (917) 862-5215
Fax (718) 347-4643
Business Location
35 TULIP AVENUE
PO BOX 20838
FLORAL PARK NY, 11002, US
Phone (917) 862-5215
Fax (718) 347-4643
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 275599
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According to our database, Samantha Ann Raphael LPN NPI is 1417126558, taxonomy code is 164W00000X and license number is 275599, license state is located at New York. Samantha Ann Raphael LPN physically located at 22 Coolidge Ct, Coram NY, 11727-3908. NPI Number Samantha Ann Raphael LPN has the Individual type.

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1417126558 NPI number is provided on an as is basis without warranty of any kind. 1417126558 is maintained by the National Plan & Provider Enumeration System. The contents of Samantha Ann Raphael LPN are for informational purposes only.