Individual
ABLAJAN HEYTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
13640 39TH AVE STE 6GB, FLUSHING, NY 11354-5536
(718) 321-8246
(718) 321-8273
Mailing address
PO BOX 2625, NEW YORK, NY 10009-8925
(718) 321-8246
(718) 321-8273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
026512
NY
363A00000X
Physician Assistant
PA61260172
WA
Other
Enumeration date
02/23/2021
Last updated
10/26/2023
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