Organization
MEDICAL HOME VISITS OF NY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VYACHISLAV ABAYEV MD (MD)
(917) 363-5223
Entity
Organization
Contact information
Practice address
10615 QUEENS BLVD UNIT B15, FOREST HILLS, NY 11375-4301
(917) 789-6963
Mailing address
10615 QUEENS BLVD UNIT B15, FOREST HILLS, NY 11375-4301
(917) 789-6963
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
251705
NY
261QP2300X
Primary Care Clinic/Center
Primary
251705
NY
Other
Enumeration date
12/05/2017
Last updated
01/02/2018
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