Most Relevant Information
Provider Data
| NPI Number: | 1003599804 |
| Provider Name: | RAIKIJA ALLEN PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/08/2023 |
| Last Updated: | 08/08/2023 |
Provider Practice Location
1027 46TH AVE FL 3
LONG ISLAND CITY
NY
111015245
Practice Location Phone/Fax
| Phone: | 2122853700 |
| Fax: |
Provider Mailing Location
PO BOX 16
HENRICO
NC
278420015
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |