(800) 868-1923

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: