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

Theodora C Raft NP, PC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1053063347

Theodora C Raft NP, PC is a Psychiatric/Mental Health Nurse Practitioner in East Setauket, New York. Registered with an NPI since 2022.

In the registry since
2022
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

290 Main St
East Setauket, NY 11733-2871
Phone: (631) 751-0441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1053063347
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theodora Raft — Np · (631) 617-2416
NPI enumeratedJanuary 19, 2022
Last updated in NPPESJanuary 19, 2022
Certification dateJanuary 19, 2022
Mailing address7 Crest Ct, Middle Island, NY 11953-2135

Other providers in East Setauket