Individual
DANIEL RAFAELOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
340 JAY ST, BROOKLYN, NY 11201-2930
(718) 858-5000
Mailing address
340 JAY ST, BROOKLYN, NY 11201-2930
(718) 858-5000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009014
NY
Other
Enumeration date
07/12/2019
Last updated
05/05/2021
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