Most Relevant Information
Provider Data
| NPI Number: | 1003246208 |
| Provider Name: | MAGDALENA RAKVIN PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 25MP00323500 |
Most Important Dates
| Enumeration Date: | 11/25/2013 |
| Last Updated: | 03/17/2022 |
Provider Practice Location
501 SEAVIEW AVE
STATEN ISLAND
NY
103053419
Practice Location Phone/Fax
| Phone: | 7182269500 |
| Fax: | 7182265822 |
Provider Mailing Location
501 SEAVIEW AVE
STATEN ISLAND
NY
103053419
Provider Mailing Phone/Fax
| Phone: | 7182269500 |
| Fax: | 7182265822 |