Doctor Name: | RAPHAEL AMOONA |
NPI Number: | 1073659629 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 113277 |
Business Practice Address: | 1573 Broadway Hewlett, NY - 115571428 |
Business Phone Number: | 5163743322 |
Business Fax Number: | 5163740944 |
Mailing Address: | 1573 Broadway, HEWLETT, |
State: | NY |
Postal Code: | 11557 |
Phone Number: | 5163743322 |
Fax Number: | 5163740944 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | 113277 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |