Provider Demographics
NPI:1265024525
Name:ARONBAYEV, BENJAMIN M (PA)
Entity Type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:M
Last Name:ARONBAYEV
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:14415 COOLIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:BRIARWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11435-1201
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10919 72ND RD
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-7826
Practice Address - Country:US
Practice Address - Phone:718-459-8460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-08
Last Update Date:2021-09-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant