MEDICARE: RAY CHAVDAR REZANO PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	010061	NY

General Provider Information

NPI Number	:	1437483187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAY CHAVDAR REZANO PA

Provider Business Mailing Address
First Line	:	6310 FRESH POND RD
Second Line	:
City	:	RIDGEWOOD
State	:	NY
Zip	:	11385-2624
Country	:	US
Telephone Number	:	347-229-5117
Fax Number	:	718-342-4033

Provider Business Practice Location Address
First Line	:	656 PENNSYLVANIA AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11207-6907
Country	:	US
Telephone Number	:	718-342-2446
Fax Number	:	718-591-0265

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2009
Last Update Date	:	09/29/2009

Similar Medicare Providers

1518810720 — ABBY FAMILY HEALTH NP P C
Practice Location Address:

656 PENNSYLVANIA AVE FL 1
BROOKLYN, NY
11207-6907

Practice Phone: 718-342-2446
Practice Fax: 718-591-0265

1912432576 — SHENELL HAMILTON
Practice Location Address:

676 PENNSYLVANIA AVE
BROOKLYN, NY
11207-6907

Practice Phone: 518-227-6647
Practice Fax:

1932518966 — DAMU WANG LAC
Practice Location Address:

1762 MCDONALD AVE
BROOKLYN, NY
11230-6907

Practice Phone: 718-758-5161
Practice Fax:

1710387865 — BHAVINIBEN PATEL PT
Practice Location Address:

1762 MCDONALD AVE
BROOKLYN, NY
11230-6907

Practice Phone: 718-758-5161
Practice Fax: 718-758-5160

1306489380 — KINGS COUNTY PHYSICIANS GROUP PLLC
Practice Location Address:

1762 MCDONALD AVE
BROOKLYN, NY
11230-6907

Practice Phone: 718-872-7358
Practice Fax:

1316547003 — MRS. MARIA LOLITA FOX RN
Practice Location Address:

398 MONROE ST APT 2
BROOKLYN, NY
11221-6907

Practice Phone: 346-622-0506
Practice Fax:

Directions to “ RAY CHAVDAR REZANO PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.