Pereira, Rafael D

Pereira, Rafael D is an sole proprietor health care provider with primary practice located at 216 Westchester Ave Suite 12, Port Chester NY 10573-4541. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pereira, Rafael D can be contacted via phone (914) 690-0333.

Contact Information

Primary practice address
216 Westchester Ave Suite 12 Port Chester NY 10573-4541
Fax: (914) 690-0444
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 010838 Maine

Profile Details

NPI number 1760523765
LBN Legal business name Pereira, Rafael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760523765 NPPES
New Jersey MEDICAID 0657603

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