Healthcare Provider Details

I. General information

NPI: 1679413165
Provider Name (Legal Business Name): REBECCA RAFAEL NP IN FAMILY HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 ALLENWOOD RD
GREAT NECK NY
11023-2127
US

IV. Provider business mailing address

26 ALLENWOOD RD
GREAT NECK NY
11023-2127
US

V. Phone/Fax

Practice location:
  • Phone: 516-765-5018
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: REBECCA RAFAEL
Title or Position: NP
Credential:
Phone: 516-765-5018