Provider Demographics
NPI:1902135965
Name:RAFES, LESLEY S (CD)
Entity Type:Individual
Prefix:MS
First Name:LESLEY
Middle Name:S
Last Name:RAFES
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 BOULDER RUN RD
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07501-3356
Mailing Address - Country:US
Mailing Address - Phone:201-694-1798
Mailing Address - Fax:
Practice Address - Street 1:25 BOULDER RUN RD
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07501-3356
Practice Address - Country:US
Practice Address - Phone:201-694-1798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-21
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula