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1780388454
RAPHAELA GASSANOV
NEW YORK, NY
NPI
1780388454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: NY 029741)
Enumeration Date
2023-03-28
Last Update Date
2023-03-28
Business Address
MISS RAPHAELA GASSANOV PA
110 W 14TH ST
NEW YORK, NY 10011-7303
Phone number: 212-481-3333
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Mailing Address
MISS RAPHAELA GASSANOV PA
1355 E 18TH ST APT 6C
BROOKLYN, NY 11230-7567
Phone number: 732-239-9288
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