MEDICARE: MS. ROSEMARIE RAFFA NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	5087581	NY

General Provider Information

NPI Number	:	1205800539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROSEMARIE RAFFA NP

Provider Business Mailing Address
First Line	:	87 GRAND ST
Second Line	:
City	:	CROTON ON HUDSON
State	:	NY
Zip	:	10520-2518
Country	:	US
Telephone Number	:	914-271-6262
Fax Number	:	914-271-4839

Provider Business Practice Location Address
First Line	:	95 WOODS RD
Second Line	:	ONCOLOGY 7 SOUTH
City	:	VALHALLA
State	:	NY
Zip	:	10595-1557
Country	:	US
Telephone Number	:	914-493-7488
Fax Number	:	914-493-7483

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	10/08/2010

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