Mira Rafailov
Mira Rafailov is an Adult Health Nurse Practitioner in Forest Hills, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2023
Practice location Address checks out
11247 Queens Blvd Ste 206Forest Hills, NY 11375-7421
Phone: (800) 200-8196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 309346 (NY) |
|---|
Record details
| NPI number | 1841994183 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 29, 2023 |
| Last updated in NPPES | March 29, 2023 |
| Certification date | March 29, 2023 |
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