RAFAEL ROBENOV

JAMAICA, NY
NPI1003290727
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  018724)
Enumeration Date2015-07-13
Last Update Date2015-07-13
Business Address
-- RAFAEL ROBENOV RPA-C
84-42 151ST STREET
JAMAICA, NY 11432
Phone number: 718-350-6252
Mailing Address
-- RAFAEL ROBENOV RPA-C
8442 151ST ST
JAMAICA, NY 11432-1618
Phone number: 718-350-6252