# NADEREH RAFAT, M.D.P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841565389
- **Authorized official:** DR. NADEREH RAFAT M.D. (PRESIDENT)
- **Authorized official phone:** (914) 667-1620

## Contact information

- **Practice address:** 153 STEVENS AVE, SUITE \# 5, MOUNT VERNON, NY 10550-2597
- **Practice address phone:** (914) 667-1620
- **Practice address fax:** (914) 667-2421
- **Mailing address:** 153 STEVENS AVE, SUITE \# 5, MOUNT VERNON, NY 10550-2597
- **Mailing address phone:** (914) 667-1620
- **Mailing address fax:** (914) 667-2421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 145111 | NY | Yes |

## Other

- **Enumeration date:** 03/16/2012
- **Last updated:** 03/16/2012