Most Relevant Information
Provider Data
| NPI Number: | 1003290727 |
| Provider Name: | RAFAEL ROBENOV RPA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 018724 |
Most Important Dates
| Enumeration Date: | 07/13/2015 |
| Last Updated: | 07/13/2015 |
Provider Practice Location
84-42 151ST STREET
JAMAICA
NY
11432
Practice Location Phone/Fax
| Phone: | 7183506252 |
| Fax: |
Provider Mailing Location
8442 151ST ST
JAMAICA
NY
114321618
Provider Mailing Phone/Fax
| Phone: | 7183506252 |
| Fax: |