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

Individual provider Physician Assistant · NPI 1922148493

Rafael Avezbakiyev, PA is a Physician Assistant in Kew Gardens, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

12219 Metropolitan Ave
Kew Gardens, NY 11415-2708
Phone: (718) 877-5263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 010942 (NY)

Record details

NPI number1922148493
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedFebruary 7, 2007
Last updated in NPPESSeptember 7, 2023

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