Provider Demographics
NPI:1851437610
Name:RAFTOPOULOS, MONICA (PT,MSPT)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:
Last Name:RAFTOPOULOS
Suffix:
Gender:F
Credentials:PT,MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 PARKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-2211
Mailing Address - Country:US
Mailing Address - Phone:516-484-0260
Mailing Address - Fax:516-484-6113
Practice Address - Street 1:243 PARKSIDE DR
Practice Address - Street 2:
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-2211
Practice Address - Country:US
Practice Address - Phone:516-484-0260
Practice Address - Fax:516-484-6113
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017982-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics