Raft, Theodora C

Raft, Theodora C is an individual health care provider with primary practice located at 745 64Th St , Brooklyn NY 11220-4745. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Raft, Theodora C can be contacted via phone (187) 490-7351.

Contact Information

Primary practice address
745 64Th St Brooklyn NY 11220-4745
Phone: (187) 490-7351
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 306107 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 403307 New York

Profile Details

NPI number 1083955041
LBN Legal business name Raft, Theodora C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2013
Last updated Jan 19th, 2022 - about 4 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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