NPI 1336675776

Elchin Rafailov, LIVERYCARSERVICE

Practitioner Prevention Professional Brooklyn, NY

Practice location

Address: 1659 Bath Ave, Brooklyn, NY 11214-4509
Phone: (212) 920-0133
Mailing address: 1659 Bath Ave, Brooklyn, NY 11214

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence B02920 (NY)

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Registry record

NPI: 1336675776
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 May 2017
Record last updated: 4 May 2017

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.