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

Miss. Raphaela Gassanov, PA

Individual provider Medical Physician Assistant · NPI 1780388454

Miss. Raphaela Gassanov, PA is a Medical Physician Assistant in New York, New York. Works from 3 locations. Licensed in New York.

Licensed in
NY
In the registry since
2023
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

110 W 14th St
New York, NY 10011-7303
Phone: (212) 481-3333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 332 E 14th St, New York, NY 10003-4243 — (212) 481-3333
  • 912 Columbus Ave, New York, NY 10025-4040 — (212) 481-3333

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 029741 (NY)

Record details

NPI number1780388454
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 28, 2023
Last updated in NPPESMarch 28, 2023
Certification dateMarch 28, 2023

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