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MR. ELCHIN RAFAILOV LIVERY CAR SERVICE NPI 1336675776


NPI Information

NPI: 1336675776
Provider Name: MR. ELCHIN RAFAILOV, LIVERY CAR SERVICE
Classification: Prevention Professional - 405300000X
Entity Type: Individual
Address:
1659 BATH AVE
BROOKLYN, NY
ZIP 11214
Phone: (212) 920-0133
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MR. Elchin Rafailov, LIVERY CAR SERVICE is a prevention professional in Brooklyn, NY. The provider is prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. MR. Elchin Rafailov, LIVERY CAR SERVICE NPI is 1336675776. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1659 BATH AVE
BROOKLYN, NY
ZIP 11214-509
Phone: (212) 920-0133

The enumeration date for this NPI number is 5/4/2017 and was last updated on 5/4/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1405300000XPrevention ProfessionalB02920NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
147-4929209MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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