Individual
RAPHAEL DARIO IRIZARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
173 W 78TH ST, NEW YORK, NY 10024-6703
(845) 558-1945
Mailing address
1702 NEWKIRK AVE, BROOKLYN, NY 11226-6672
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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