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Organization
MEDICAL PRACTICE OF DR ABAYEV P. C.
Active
Organization
MEDICAL PRACTICE OF DR ABAYEV P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VYACHISLAV ABAYEV MD (OWNER)
(917) 363-5223
Entity
Organization
Contact information
Practice address
17901 80TH DR, JAMAICA, NY 11432-1458
(917) 363-5223
Mailing address
17901 80TH DR, JAMAICA, NY 11432-1458
(917) 363-5223
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2517051
NY
207R00000X
Internal Medicine Physician
Primary
2517051
NY
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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