Individual
MARYAM RAFAEL AGHALAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
97-12 63RD DRIVE, SUITE 1-B, REGO PARK, NY 11374-2445
(718) 897-7430
(718) 896-0062
Mailing address
97-12 63RD DRIVE, SUITE 1-B, REGO PARK, NY 11374-2445
(718) 897-7430
(718) 896-0062
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
263923
NY
Other
Enumeration date
07/22/2008
Last updated
11/28/2017
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