Provider Demographics
NPI:1205856606
Name:BABAYEV, EMIL (DPM)
Entity Type:Individual
Prefix:
First Name:EMIL
Middle Name:
Last Name:BABAYEV
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8246 LEFFERTS BLVD APT 4G
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-1329
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2269 OCEAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-3103
Practice Address - Country:US
Practice Address - Phone:718-339-8200
Practice Address - Fax:718-336-0069
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005511213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPB755EX481OtherMEDICARE
NYPB755EX481OtherMEDICARE
U79825Medicare UPIN