Theodora C Raft NP

NPI 1083955041 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1083955041
Gender Female
Enumeration Date 03/14/2013
Last Updated 07/30/2015
Entity Type Individual
Active Over 4 years ago
Practice Location
OPTUM ONE PENN PLAZA
NEW YORK NY, 10119, US
Phone (646) 276-2826
Fax
Business Location
7 CREST CT
MIDDLE ISLAND NY, 11953-2135, US
Phone
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State New York
License Number 306107
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According to our database, Ms. Theodora C Raft NP NPI is 1083955041, taxonomy code is 363LA2200X and license number is 306107, license state is located at New York. Theodora C Raft NP physically located at Optum One Penn Plaza, New York NY, 10119. NPI Number Theodora C Raft NP has the Individual type.

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1083955041 NPI number is provided on an as is basis without warranty of any kind. 1083955041 is maintained by the National Plan & Provider Enumeration System. The contents of Theodora C Raft NP are for informational purposes only.