Raftery, Thomas L

Raftery, Thomas L is an sole proprietor health care provider with primary practice located at 350 Henry St , Brooklyn NY 11201-6001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Raftery, Thomas L can be contacted via phone (718) 780-1564.

Contact Information

Primary practice address
350 Henry St Brooklyn NY 11201-6001
Phone: (718) 780-1564
Fax: (718) 780-4703
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 091584-1 New York

Profile Details

NPI number 1902800469
LBN Legal business name Raftery, Thomas L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2005
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902800469 NPPES
New York MEDICAID 00146694

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