Individual
MRS. HONG T-L RAPHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
380 GUY PARK AVE, ST. MARY'S HOSPITAL, FAM HLTH CNTR @ CARONDELET PAVILIO, AMSTERDAM, NY 12010-1055
(518) 841-7415
(518) 841-7422
Mailing address
427 GUY PARK AVE - PRIMARY & SPECIALTY CARE DEPT., ST. MARY'S HOSPITAL @ AMSTERDAM, AMSTERDAM, NY 12010
(518) 841-7430
(518) 841-7121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
183386-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01610457
—
NY
01
—
10002696
CDPHP
NY
01
—
8234
MVP
NY
Enumeration date
07/18/2005
Last updated
09/02/2010
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