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NPI Code Detail

MEDICARE: RAQUEL FOX

MEDICARE:   RAQUEL  FOX
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1972931509
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAQUEL FOX
Provider Business Mailing Address
First Line : 298 MONAHAN AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-6131
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 298 MONAHAN AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-6131
Country : US
Telephone Number : 718-494-6047
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2013
Last Update Date : 10/16/2013

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Directions to “ RAQUEL FOX ” Practice Location

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