Provider Demographics
NPI:1184043705
Name:ARABOV, YOSIF (PA)
Entity Type:Individual
Prefix:
First Name:YOSIF
Middle Name:
Last Name:ARABOV
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 03 101ST AVENUE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11419-0000
Mailing Address - Country:US
Mailing Address - Phone:718-441-0184
Mailing Address - Fax:718-441-8098
Practice Address - Street 1:119 03 101ST AVENUE
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11419-0000
Practice Address - Country:US
Practice Address - Phone:718-441-0184
Practice Address - Fax:718-441-8098
Is Sole Proprietor?:No
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017409-1363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical