Provider Demographics
NPI:1265725972
Name:RATHIBHAN, HEMNARINE (RPA-C)
Entity type:Individual
Prefix:MR
First Name:HEMNARINE
Middle Name:
Last Name:RATHIBHAN
Suffix:
Gender:M
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 N HANGAR RD
Mailing Address - Street 2:BUILDING NO. 75 SUITE 279/249 JFK AIRPORT
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11430-1802
Mailing Address - Country:US
Mailing Address - Phone:718-656-9500
Mailing Address - Fax:
Practice Address - Street 1:75 N HANGAR RD
Practice Address - Street 2:BUILDING 75, SUITE 247/249 JFK INTERNATIONAL AIRPORT
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11430-1826
Practice Address - Country:US
Practice Address - Phone:718-656-5950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-27
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014212363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant