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1922148493
RAFAEL AVEZBAKIYEV
KEW GARDENS, NY
NPI
1922148493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 010942)
Enumeration Date
2007-02-07
Last Update Date
2023-09-07
Business Address
-- RAFAEL AVEZBAKIYEV PA
12219 METROPOLITAN AVE
KEW GARDENS, NY 11415-2708
Phone number: 718-877-5263
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Mailing Address
-- RAFAEL AVEZBAKIYEV PA
12219 METROPOLITAN AVE
KEW GARDENS, NY 11415-2708
Phone number: 718-877-5263
Copy
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