Rafailov, Diana

Rafailov, Diana is an individual health care provider with primary practice located at 8534 125Th St , Kew Gardens NY 11415-3324. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Rafailov, Diana can be contacted via phone (347) 413-0188.

Contact Information

Primary practice address
8534 125Th St Kew Gardens NY 11415-3324
Phone: (347) 413-0188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 586061111 New York

Profile Details

NPI number 1912241621
LBN Legal business name Rafailov, Diana
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2012
Last updated Feb 26th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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