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Dr. Rafael Yakutilov, MD
Neurology Physician in Rockaway Park, New York
NPI 1003811720

Rafael Yakutilov is a Neurology Physician based in Rockaway Park, NY and is specialized in Neurology. Rafael Yakutilov practices in Rockaway Park, NY and has the professional credentials of MD. The NPI Number for Rafael Yakutilov is 1003811720 and holds a License No. 229375 (New York).

The current practice location address for Rafael Yakutilov is 15 Beach 105Th St, Rockaway Park, NY and can be reached out via phone at 718-474-0023 and via fax at 718-474-2033.

Location: 15 Beach 105Th St, Rockaway Park, NY, 11694-2640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003811720
Provider Name
Rafael Yakutilov
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15 Beach 105Th St, Rockaway Park, NY, 11694-2640
Phone Number
718-474-0023
Fax Number
718-474-2033
Provider Enumeration Date
06/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02574349 05 NY
institution
Provider Business Practice Location Address Details
Address
15 Beach 105Th St
City
Rockaway Park
State
New York
Zip
11694-2640
Phone Number
718-474-0023
Fax Number
718-474-2033
person
Provider Business Mailing Address Details
Address
15 Beach 105Th St
City
Rockaway Park
State
New York
Zip
11694-2640
Phone Number
718-474-0023
Fax Number
718-474-2033
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
229375 (New York)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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