Individual
DR. DANIL ISAKOVICH RAFAILOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12314 METROPOLITAN AVE, KEW GARDENS, NY 11415-2710
(718) 441-6060
(718) 441-6060
Mailing address
12314 METROPOLITAN AVE, KEW GARDENS, NY 11415-2710
(718) 441-6060
(718) 441-6060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
250-780-1
NY
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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