Provider Demographics
NPI:1528543659
Name:RAFFAI, NATASHA ELIZABETH (PA-C)
Entity Type:Individual
Prefix:MS
First Name:NATASHA
Middle Name:ELIZABETH
Last Name:RAFFAI
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1333 COUNTY ROUTE 25
Mailing Address - Street 2:
Mailing Address - City:MALONE
Mailing Address - State:NY
Mailing Address - Zip Code:12953-6025
Mailing Address - Country:US
Mailing Address - Phone:337-550-5125
Mailing Address - Fax:
Practice Address - Street 1:1 GUSTAVE L LEVY PL FL 12
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6574
Practice Address - Country:US
Practice Address - Phone:212-241-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-25
Last Update Date:2018-09-25
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant