Individual
DR. EMANUEL ABAYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7505 PARSONS BLVD, FLUSHING, NY 11366-1037
(718) 380-1230
Mailing address
13677 72ND AVE, FLUSHING, NY 11367-2327
(718) 261-1585
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
056590-1
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
056590-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03643547
—
NY
Enumeration date
06/30/2011
Last updated
03/25/2016
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