MIRA RAFAILOV
NPI 1841994183
Nurse Practitioner - Adult Health in Forest Hills, NY

Q: What is Mira Rafailov's NPI number?

The NPI number for Mira Rafailov is 1841994183. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Q: What is Mira Rafailov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Mira Rafailov was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 29, 2023

11247 QUEENS BLVD STE 206, FOREST HILLS, NY 11375(800) 200-8196 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mira Rafailov NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRA RAFAILOV (NPI 1841994183) is an individual adult health provider in Forest Hills, New York, licensed in New York (309346) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1841994183

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMIRA RAFAILOV

Location Address11247 QUEENS BLVD STE 206Forest Hills, NY 11375-7421

Mailing Address11247 Queens Blvd Ste 206Forest Hills, NY 11375-7421

Phone(800) 200-8196

Sole ProprietorYes

Enumeration DateMarch 29, 2023

NPPES CertifiedMarch 29, 2023

✔ NPI 1841994183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 309346

11247 QUEENS BLVD STE 206, Forest Hills, NY 11375

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TAMARA GOODMAN M.D.

Psychiatry & Neurology (Clinical Neurophysiology)

11247 QUEENS BLVD STE 206
FOREST HILLS, NY 11375

Queens County (718) 544-4200

MICHAEL KHAIMOV PA-C

Physician Assistant

11247 QUEENS BLVD STE 206
FOREST HILLS, NY 11375

Queens County (800) 200-8196

NATALYA POZINA

Nurse Practitioner (Family)

11247 QUEENS BLVD STE 206
FOREST HILLS, NY 11375

Queens County (718) 544-4200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mira Rafailov's NPI number?

The NPI number for Mira Rafailov is 1841994183. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Mira Rafailov located?

Mira Rafailov practices at 11247 Queens Blvd Ste 206, Forest Hills, NY 11375. The listed phone number is (800) 200-8196.

What is Mira Rafailov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Mira Rafailov was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.