Individual
MR. RAFAEL ERIC BOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
26 ROOSEVELT CT, WESTBURY, NY 11590-4135
(917) 755-2425
Mailing address
26 ROOSEVELT CT, WESTBURY, NY 11590-4135
(917) 755-2425
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/28/2008
Last updated
11/18/2016
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