Individual
URIEL AVEZBADALOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7908 147TH ST APT B8, FLUSHING, NY 11367-3760
(718) 380-8683
Mailing address
7908 147TH ST APT B8, FLUSHING, NY 11367-3760
(718) 380-8683
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
246250
NY
208D00000X
General Practice Physician
Primary
246250
NY
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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