RAPHAELA GASSANOV

NEW YORK, NY
NPI1780388454
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: NY  029741)
Enumeration Date2023-03-28
Last Update Date2023-03-28
Business Address
MISS RAPHAELA GASSANOV PA
110 W 14TH ST
NEW YORK, NY 10011-7303
Phone number: 212-481-3333
Mailing Address
MISS RAPHAELA GASSANOV PA
1355 E 18TH ST APT 6C
BROOKLYN, NY 11230-7567
Phone number: 732-239-9288