Organization
RAFAEL YAKUTILOV NEUROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL YAKUTILOV M.D. (PHYSICIAN, NEUROLOGIST)
(718) 474-0023
Entity
Organization
Contact information
Practice address
15 BEACH 105TH ST, ROCKAWAY PARK, NY 11694-2640
(718) 474-0023
(718) 474-2033
Mailing address
15 BEACH 105TH ST, ROCKAWAY PARK, NY 11694-2640
(718) 474-0023
(718) 474-2033
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
09/11/2007
Last updated
01/30/2009
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