Individual
SAMUEL RAFALIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.O.G.
Contact information
Practice address
210 CENTRAL PARK S, NEW YORK, NY 10019-1428
(212) 319-5535
(845) 782-6914
Mailing address
PO BOX 48263, NEWARK, NJ 07101-4863
(212) 319-5535
(845) 782-6914
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
207840
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02105177
—
NY
01
—
0296217
GHI
NY
01
—
N97026
HEALTHNET
NY
01
—
P2198780
OXFORD
NY
01
—
SR082N5910
BLUECROSS/BLUESHIELD
NY
Enumeration date
07/14/2006
Last updated
05/10/2021
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