Provider Demographics
NPI:1366627226
Name:BABAYEVA, BELLA (PHARMD)
Entity Type:Individual
Prefix:
First Name:BELLA
Middle Name:
Last Name:BABAYEVA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7219 VLEIGH PL
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-2410
Mailing Address - Country:US
Mailing Address - Phone:718-350-5812
Mailing Address - Fax:
Practice Address - Street 1:7219 VLEIGH PL
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-2410
Practice Address - Country:US
Practice Address - Phone:718-350-5812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-09
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050334183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist