person
Miss Raphaela Gassanov, PA
Medical Physician Assistant in New York, New York
NPI 1780388454

Raphaela Gassanov is a Medical Physician Assistant based in Brooklyn, NY and is specialized in Medical. Raphaela Gassanov practices in New York, NY and has the professional credentials of PA. The NPI Number for Raphaela Gassanov is 1780388454 and holds a License No. 029741 (New York).

The current practice location address for Raphaela Gassanov is 110 W 14Th St, New York, NY and can be reached out via phone at 212-481-3333.

Location: 110 W 14Th St, New York, NY, 11230-7567
person
Provider Profile Details
NPI Number
1780388454
Provider Name
Raphaela Gassanov
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
110 W 14Th St, New York, NY, 11230-7567
Phone Number
212-481-3333
Fax Number
Provider Enumeration Date
03/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
110 W 14Th St
City
State
Zip
10011-7303
Phone Number
212-481-3333
Fax Number
person
Provider Business Mailing Address Details
Address
110 W 14Th St
City
State
Zip
10011-7303
Phone Number
212-481-3333
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
029741 (New York)
Definition
Definition to come...
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