Provider Demographics
NPI:1154501641
Name:BABAYEVA, YAEL (PT)
Entity Type:Individual
Prefix:
First Name:YAEL
Middle Name:
Last Name:BABAYEVA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9918 66TH AVE
Mailing Address - Street 2:APT 3G
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-3661
Mailing Address - Country:US
Mailing Address - Phone:718-350-4908
Mailing Address - Fax:
Practice Address - Street 1:6260 108TH ST STE 1J
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-1301
Practice Address - Country:US
Practice Address - Phone:718-275-2224
Practice Address - Fax:718-275-5100
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-13
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020982225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist