MEDICARE: R.A.F. MEDICAL PC

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	207R00000X	Internal Medicine Physician	181531	NY

General Provider Information

NPI Number	:	1740345396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R.A.F. MEDICAL PC

Provider Business Mailing Address
First Line	:	8785 14TH AVE APT 3B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11228-3847
Country	:	US
Telephone Number	:	646-773-4772
Fax Number	:

Provider Business Practice Location Address
First Line	:	8785 14TH AVE APT 3B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11228-3847
Country	:	US
Telephone Number	:	646-773-4772
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. RICHARD FUNARO
Credential	:	MD
Telephone Number	:	646-773-4772

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	07/15/2024

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