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Ebonie Raphael
NPI 1689979023 · on the registry since 2011 · sole proprietor
Practice
- Address
- 11522 222nd St
Cambria Heights, NY 11411 - Phone
- (347) 276-6895
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-01-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York