Rafael Pagan Jr.
Social Worker, Clinical in Bronx, NY. Individual provider (NPI-1).
NPI number1245302363
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1245302363
- Entity type
- Individual (NPI-1)
- Name
- Mr. Rafael Pagan Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 14, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 075243 | NY | Yes |
Practice location
1065 Southern BlvdBronx, NY 10459-2417
Phone 718-589-2440
Mailing address
1065 Southern BlvdBronx, NY 10459-2417
Phone 718-589-2440
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