Individual
JACOB RAZIYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
7815 ELIOT AVE, MIDDLE VILLAGE, NY 11379-1300
(718) 458-8944
Mailing address
7814 271ST ST, NEW HYDE PARK, NY 11040-1504
(718) 347-1717
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
006457
NY
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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