Individual
ERIC ABAYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6743 CENTRAL AVE, GLENDALE, NY 11385-6653
(347) 445-3797
Mailing address
6929 167TH ST, FRESH MEADOWS, NY 11365-3209
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
071176
NY
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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