Raphael Amoona
Adolescent Medicine
1573 Broadway
Hewlett
, New York 11557-1428
Raphael Amoona
Adolescent Medicine
1573 Broadway
Hewlett
, New York 11557-1428
(516) 374-0944
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Raphael Amoona
- 1573 Broadway
- Hewlett,, NY
- Zip : 11557
- Fax : (516) 374-0944
- Phone : (516) 374-3322
Second Address
- Raphael Amoona
- 1573 Broadway
- Hewlett, NY
- Zip : 11557-1428
- Fax : (516) 374-0944
- Phone : (516) 374-3322
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 113277 | NY |
National Provider Identifier
| NPI | 1073659629 |
|---|---|
| Provider Name | Raphael Amoona |
| First Address | Hewlett,, NY 11557 |
| Second Address | Hewlett, NY 11557-1428 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/01/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B18707 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.