Individual
MR. CHRISTOPHER R YAKAWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
015653
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015653
PHYSICIAN ASSISTANT LICENSE
NY
05
—
03469789
—
NY
Enumeration date
03/20/2012
Last updated
08/30/2012
Update your record
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