Individual
ALEKSEY BABAKHANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
6405 YELLOWSTONE BLVD APT 101, FOREST HILLS, NY 11375-1534
(718) 896-3376
Mailing address
14447 CHARTER RD APT 9B, BRIARWOOD, NY 11435-6316
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
344117
NY
Other
Enumeration date
02/22/2019
Last updated
05/13/2019
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