Individual
RAFAEL Z AXEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34 SOUTH BEDFORD ROAD, MT. KISCO, NY 10549
(914) 244-6789
(914) 242-1516
Mailing address
110 SOUTH BEDFORD ROAD, MOUNT KISCO, NY 10549-3412
(914) 244-6789
(914) 242-1516
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
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