Individual
IGOR ABAYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8411 NORTHERN BLVD, FIRST FLOOR, JACKSON HEIGHTS, NY 11372-1531
(718) 424-7100
Mailing address
8411 NORTHERN BLVD, JACKSON HEIGHTS, NY 11372-1531
(718) 424-7100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052888
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02799062
—
NY
Enumeration date
09/30/2006
Last updated
07/08/2007
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