Individual
RAPHAEL AMOONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1573 BROADWAY, HEWLETT, NY 11557-1428
(516) 374-3322
(516) 374-0944
Mailing address
1573 BROADWAY, HEWLETT,, NY 11557
(516) 374-3322
(516) 374-0944
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
113277
NY
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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