NPI 1245916014
Raphael Novogrodsky MD PC
Practice location
- Address
- 1250 Waters Pl Suite 1207, Bronx, NY 10461
- Phone
- (718) 684-4482
- Fax
- (718) 918-9778
- Mailing address
- 401 Rutland Ave, Teaneck, NJ 07666
Authorised official
- Name
- Raphael Novogrodsky
- Title
- Owner
- Phone
- (201) 638-3640
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1245916014
- Entity type
- Organization
- NPI issued
- 26 Jun 2023
- Record last updated
- 26 Jun 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.