Individual
RAFAEL Z AXEN
Active
Individual
RAFAEL Z AXEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
227630
NY
207LP3000X
Pediatric Anesthesiology Physician
227630
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227630
LICENSE
NY
01
—
DB5589
GROUP MEDICARE RAILROAD
NY
Enumeration date
06/09/2006
Last updated
09/23/2016
Update your record
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