Individual
KHAIM BABAYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10201 66TH RD, FOREST HILLS, NY 11375-2029
(718) 830-4093
Mailing address
10201 66TH RD, FOREST HILLS, NY 11375-2029
(718) 830-4093
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
007572-1
NY
Other
Enumeration date
11/02/2006
Last updated
05/24/2010
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