Provider Demographics
NPI:1437398138
Name:DAVID ABAYEV GYNECOLOGY PC
Entity Type:Organization
Organization Name:DAVID ABAYEV GYNECOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ABAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:347-267-5543
Mailing Address - Street 1:102-45 62 ROAD
Mailing Address - Street 2:APT 2D
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375
Mailing Address - Country:US
Mailing Address - Phone:347-267-5543
Mailing Address - Fax:212-744-3816
Practice Address - Street 1:25-35 31ST AVENUE
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11106-3607
Practice Address - Country:US
Practice Address - Phone:718-274-2600
Practice Address - Fax:718-274-1772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235009207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty