Individual
MR. BABAK MARDEKHEH RAFIEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
1149-55 MYRTLE AVENUE, BROOKLYN, NM 11206
(718) 574-1928
(718) 919-2374
Mailing address
22 CHAPEL ST, BROOKLYN, NY 11201-1903
(718) 260-2962
(718) 522-3186
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011285
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011285
NEW YORK STATE
NY
Enumeration date
02/28/2008
Last updated
02/28/2008
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