Individual
RAQUEL J BANIQUED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
240 E 38TH ST, MEZZANINE, NEW YORK, NY 10016-2708
(917) 279-6529
Mailing address
240 E 38TH ST, MEZZANINE, NEW YORK, NY 10016-2708
(917) 279-6529
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
305747
NY
Other
Enumeration date
03/29/2012
Last updated
02/23/2021
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