Individual
RAQUEL STEFANIA PINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(347) 264-0825
Mailing address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-4000
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
F432287-01
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
F432287-01
NY
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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