Individual
MS. RAQUEL MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
77A ROUTE 25A, ROCKY POINT, NY 11778-8881
(631) 849-6363
Mailing address
86 CURTIS DR, SOUND BEACH, NY 11789-2213
(631) 849-5447
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007033-1
NY
Other
Enumeration date
12/01/2006
Last updated
01/27/2016
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