Organization
NIRVANA INTEGRATIVE MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILORA RAFIQUE MD (MD)
(347) 346-6910
Entity
Organization
Contact information
Practice address
1469 ASTOR AVE, BRONX, NY 10469-5846
(347) 346-6915
Mailing address
1469 ASTOR AVE, BRONX, NY 10469-5846
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
218349
NY
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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