Organization
PAIN SEDATION ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAKUB ABRAKHIMOV MD (CEO)
(718) 222-5999
Entity
Organization
Contact information
Practice address
6240 WOODHAVEN BLVD STE P17, REGO PARK, NY 11374-3702
(718) 222-5999
(718) 387-6429
Mailing address
9957 62ND DR, REGO PARK, NY 11374-1937
(718) 222-5999
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/17/2022
Last updated
06/13/2022
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