Organization
EA PA HEALTH P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMANUEL AVEZBAKIYEV PHYSICIAN ASSISTANT (FOUNDER)
(212) 380-6988
Entity
Organization
Contact information
Practice address
11909 AUDLEY ST, KEW GARDENS, NY 11415-1342
(212) 380-6988
Mailing address
11819 83RD AVE, KEW GARDENS, NY 11415-1301
(212) 380-6988
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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