Individual
DR. TIMOTHY JAMES RAFAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 MINEOLA BLVD, SUITE 100, MINEOLA, NY 11501-4064
(516) 663-3010
(516) 663-3026
Mailing address
120 MINEOLA BLVD, SUITE 100, MINEOLA, NY 11501-4064
(516) 663-3010
(516) 663-3026
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MT192169
PA
Other
Enumeration date
08/04/2008
Last updated
08/09/2011
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