Provider Demographics
NPI:1407185978
Name:ALAYEVA, ALLA ABIGAIL (PHARM-D)
Entity Type:Individual
Prefix:MRS
First Name:ALLA
Middle Name:ABIGAIL
Last Name:ALAYEVA
Suffix:
Gender:F
Credentials:PHARM-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14429 JEWEL AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1722
Mailing Address - Country:US
Mailing Address - Phone:646-202-3464
Mailing Address - Fax:
Practice Address - Street 1:20011 HOLLIS AVE
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:NY
Practice Address - Zip Code:11412-1711
Practice Address - Country:US
Practice Address - Phone:718-217-8230
Practice Address - Fax:718-217-8472
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-13
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050664183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist