Individual provider · Type 1 NPI
Rafoil Mardukhayev, PA-C
Medical Physician Assistant · New York, NY
NPI number
1700511920
Active
Practice location
100 E 77th St
New York, NY 10075-1850
Mailing address
1680 Ocean Ave Apt 2F
Brooklyn, NY 11230-4912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | 028658 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1700511920
Rafoil Mardukhayev, PA-C's National Provider Identifier is 1700511920, issued on Jul 21, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Nov 16, 2023.