Individual provider · Type 1 NPI

Emmanuil Dzhurayev Jr., PA

Surgical Physician Assistant · Jamaica, NY

NPI number 1255432175 Active

Practice location

8268 164th St
Jamaica, NY 11432-1121

Call (718) 883-3225 Map

Fax (718) 883-6193

Mailing address

7901 Broadway, Managed Care D101
Elmhurst, NY 11373-1329

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X010760 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1255432175

Emmanuil Dzhurayev Jr., PA's National Provider Identifier is 1255432175, issued on Sep 25, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Jamaica, NY. The record was last updated on Jul 8, 2007.