Individual
MR. RAPHAEL L HARLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 DAVIS AVE, UNIONDALE, NY 11553-2837
(516) 489-0758
Mailing address
800 DAVIS AVE, UNIONDALE, NY 11553-2837
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
6425951
NY
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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