Provider Demographics
NPI:1568085207
Name:ALAYEV, DAVID (CERT DMESPECIALIST)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:ALAYEV
Suffix:
Gender:M
Credentials:CERT DMESPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1129 NORTHERN BLVD STE 404
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3022
Mailing Address - Country:US
Mailing Address - Phone:516-600-0161
Mailing Address - Fax:516-600-0188
Practice Address - Street 1:3 GRACE AVE STE 101
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-2400
Practice Address - Country:US
Practice Address - Phone:516-600-0161
Practice Address - Fax:516-600-0188
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-27
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies