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

Rafoil Mardukhayev, PA-C

Individual provider Medical Physician Assistant · NPI 1700511920

Rafoil Mardukhayev, PA-C is a Medical Physician Assistant in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

100 E 77th St
New York, NY 10075-1850
Phone: (212) 434-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 028658 (NY)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1700511920
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 21, 2022
Last updated in NPPESNovember 16, 2023
Certification dateNovember 16, 2023

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