Rafael Yakutilov M.D.

NPI 1003811720 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1003811720
Gender Male
Enumeration Date 06/17/2005
Last Updated 01/30/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
15 BEACH 105TH ST
ROCKAWAY PARK NY, 11694-2640, US
Phone (718) 474-0023
Fax (718) 474-2033
Business Location
15 BEACH 105TH ST
ROCKAWAY PARK NY, 11694-2640, US
Phone (718) 474-0023
Fax (718) 474-2033
Toxanomy
Taxonomy Code 2084N0400X
License State New York
License Number 229375
Remove 1003811720 NPI Number
 

According to our database, Dr. Rafael Yakutilov M.D. NPI is 1003811720, taxonomy code is 2084N0400X and license number is 229375, license state is located at New York. Rafael Yakutilov M.D. physically located at 15 Beach 105th St, Rockaway Park NY, 11694-2640. NPI Number Rafael Yakutilov M.D. has the Individual type.

Sponsored links

1003811720 NPI number is provided on an as is basis without warranty of any kind. 1003811720 is maintained by the National Plan & Provider Enumeration System. The contents of Rafael Yakutilov M.D. are for informational purposes only.