Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roni Rafailov NP Family Health PC

Organization Family Medicine Physician · NPI 1528894268

Roni Rafailov NP Family Health PC is a Family Medicine Physician in Queens Village, New York. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21805 Grand Central Pkwy
Queens Village, NY 11427-1435
Phone: (718) 864-5734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Health Clinical Nurse Specialist (primary) Taxonomy 364SF0001X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1528894268
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roni Rafailov — Owner · (718) 864-5734
NPI enumeratedSeptember 10, 2024
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024
Mailing address21805 Grand Central Pkwy, Queens Village, NY 11427-1435

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