Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AVITAL YAGUDAEV, PA
ActiveAVITAL YAGUDAEV, PA is a Medical Physician Assistant healthcare provider located in HOWARD BEACH, New York. NPI 1164594156 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · HOWARD BEACH, NY
Registration Details
- NPI Number
- 1164594156
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 14, 2006 (19.75752988112 yrs)
- Last Updated
- Jun 6, 2025
- License
-
009742 (NY)
Practice Information
- Address
-
15705 CROSSBAY BLVDHOWARD BEACH, NY, 114142748Browse NY providers · Browse ZIP 11414
- Phone
- 7188455252
- Fax
- 7188456464
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in HOWARD BEACH, NY
| Name | Credential | NPI |
|---|---|---|
| JEAN K WOO | RPA-C | 1033426945 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.