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Rapha House Calls

Family Medicine in Chester, NY. Organization (NPI-2).

NPI number1336748136
StatusActive
Last updated in NPPESOct 22, 2020

Details

NPI
1336748136
Entity type
Organization (NPI-2)
Legal business name
Rapha House Calls
Organization subpart
No
Enumeration date
Oct 22, 2020
Certification date
Oct 22, 2020
Last updated
Oct 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

2 Fernglade Ct
Chester, NY 10918-2637

Phone 914-309-7994

Mailing address

2 Fernglade Ct
Chester, NY 10918-2637

Phone 914-309-7994

Authorized official

Tasha Smith
Nurse Practitioner
9143097994

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