Individual
ROKHSAREH EYVAZKHANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
633 3RD AVE, NEW YORK, NY 10017-6706
(646) 227-3654
Mailing address
9805 JAKE LN APT 14507, SAN DIEGO, CA 92126-3030
(973) 270-4019
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
018302
NY
Other
Enumeration date
12/22/2014
Last updated
07/13/2020
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