Individual
MR. CHRISTOPHER R YAKAWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
315 S MANNING BLVD, MEDICAL IMAGING DEPARTMENT, ALBANY, NY 12208-1707
(518) 525-1852
(518) 525-5187
Mailing address
4 ATRIUM DR, SUITE 100 CREDENTIALING, ALBANY, NY 12205-1441
(518) 435-2740
(518) 649-4060
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
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