Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Avital Yagudaev, PA

Individual provider Medical Physician Assistant · NPI 1164594156

Avital Yagudaev, PA is a Medical Physician Assistant in Howard Beach, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

15705 Crossbay Blvd
Howard Beach, NY 11414-2748
Phone: (718) 845-5252
Fax: (718) 845-6464
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 009742 (NY)

Record details

NPI number1164594156
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 14, 2006
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025

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