Individual
NATELA RACHMANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
170 WILLIAM ST, NEW YORK, NY 10038-2612
(212) 313-5110
Mailing address
7536 BELL BLVD, FRESH MEADOWS, NY 11365-3336
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
016869-1
NY
Other
Enumeration date
11/07/2013
Last updated
10/17/2017
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