Individual
RAQUELLE S AKAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 PELHAM PKWY S, NEUROSURGERY DEPARTMENT, BRONX, NY 10461-1138
(718) 918-6218
Mailing address
1400 PELHAM PKWY S, NEUROSURGERY DEPARTMENT, BRONX, NY 10461-1138
(718) 918-6218
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
015209-1
NY
Other
Enumeration date
03/19/2012
Last updated
01/14/2013
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