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Rafath Ansarul

Counselor, Mental Health in Bronx, NY. Individual provider (NPI-1).

NPI number1609636588
StatusActive
Last updated in NPPESMar 19, 2024

Details

NPI
1609636588
Entity type
Individual (NPI-1)
Name
Mr. Rafath Ansarul
Sex
Male
Sole proprietor
No
Enumeration date
Mar 19, 2024
Certification date
Mar 17, 2024
Last updated
Mar 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health–NYYes

Practice location

3249 Kingsbridge Ave
Bronx, NY 10463-5514

Phone 646-204-2295 · Fax 347-332-4145

Mailing address

3249 Kingsbridge Ave
Bronx, NY 10463-5514

Phone 646-204-2295 · Fax 347-332-4145

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