Provider Demographics
NPI:1144402611
Name:RAFAELI, ALEXANDRA KLEIN (PSYD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:KLEIN
Last Name:RAFAELI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 MANHATTAN AVE
Mailing Address - Street 2:#6B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026-4027
Mailing Address - Country:US
Mailing Address - Phone:646-234-0358
Mailing Address - Fax:
Practice Address - Street 1:246 MANHATTAN AVE
Practice Address - Street 2:#6B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026-4027
Practice Address - Country:US
Practice Address - Phone:646-234-0358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016857103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical