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NPI Code Detail

MEDICARE: DR. ANNE IRENE RAFAL OD

MEDICARE:  DR. ANNE IRENE RAFAL  OD
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
1152W00000XOptometrist4450NY

General Provider Information

NPI Number : 1518958016
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANNE IRENE RAFAL OD
Provider Business Mailing Address
First Line : 2334 RALPH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-5515
Country : US
Telephone Number : 718-531-0350
Fax Number : 718-531-0360
Provider Business Practice Location Address
First Line : 2334 RALPH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-5515
Country : US
Telephone Number : 718-531-0350
Fax Number : 718-531-0360
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2005
Last Update Date : 07/08/2007

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Directions to “ DR. ANNE IRENE RAFAL OD” Practice Location

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