Individual
DR. ELIZABETH RAFFANELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MPH
Contact information
Practice address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1968
(631) 474-6000
Mailing address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1968
(631) 474-6000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
025657
NY
Other
Enumeration date
05/23/2023
Last updated
05/16/2026
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