Provider Demographics
NPI:1326302373
Name:BABAEV, ALBINA (OTR/L)
Entity Type:Individual
Prefix:
First Name:ALBINA
Middle Name:
Last Name:BABAEV
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ALBINA
Other - Middle Name:
Other - Last Name:ABAEV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:76-23 175TH ST
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11366
Mailing Address - Country:US
Mailing Address - Phone:718-938-2468
Mailing Address - Fax:
Practice Address - Street 1:7623 175TH ST
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11366-1509
Practice Address - Country:US
Practice Address - Phone:718-938-2468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017209-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist