Individual
MR. AVI BABAYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2000
Mailing address
2921 PRESTON LN, MERRICK, NY 11566-5216
(646) 732-3533
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020417
NY
Other
Enumeration date
12/04/2016
Last updated
12/04/2016
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