Individual
AMY D RAFUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
77 MEDFORD AVE, PATCHOGUE, NY 11772-1281
(631) 207-2370
Mailing address
3 PHEASANT LN, CALVERTON, NY 11933-1326
(631) 284-3835
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022451
NY
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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