Organization
YA ANESTHESIA NY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAKUB ABRAKHIMOV (MD)
(718) 675-9219
Entity
Organization
Contact information
Practice address
6240 WOODHAVEN BLVD STE P17, REGO PARK, NY 11374-3702
(718) 200-8846
Mailing address
6240 WOODHAVEN BLVD STE P17, REGO PARK, NY 11374-3702
(718) 200-8846
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
01/08/2019
Last updated
08/25/2022
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