Individual
RAFAEL KHAIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1425 MADISON AVE, NEW YORK, NY 10029-6514
(212) 659-8086
Mailing address
15339 77TH AVE, FLUSHING, NY 11367-3127
(646) 483-6947
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F304417-1
NY
Other
Enumeration date
05/31/2007
Last updated
02/05/2013
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