Raphael, Hong T-L

Raphael, Hong T-L is an individual health care provider with primary practice located at 380 Guy Park Ave St. Mary'S Hospital, Fam Hlth Cntr @ Carondelet Pavilio, Amsterdam NY 12010-1055. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Raphael, Hong T-L can be contacted via phone (518) 841-7415.

Contact Information

Primary practice address
380 Guy Park Ave St. Mary'S Hospital, Fam Hlth Cntr @ Carondelet Pavilio Amsterdam NY 12010-1055
Phone: (518) 841-7415
Fax: (518) 841-7422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 183386-1 New York

Profile Details

NPI number 1578562054
LBN Legal business name Raphael, Hong T-L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Sep 2nd, 2010 - about 15 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 1578562054 NPPES
New York MEDICAID 01610457
New York Other 10002696
New York Other 8234

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