Provider Demographics
NPI:1750683645
Name:BABEKOV, EFRAIM
Entity Type:Individual
Prefix:MR
First Name:EFRAIM
Middle Name:
Last Name:BABEKOV
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8246 LEFFERTS BLVD
Mailing Address - Street 2:APT 2K
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-1346
Mailing Address - Country:US
Mailing Address - Phone:718-913-6000
Mailing Address - Fax:
Practice Address - Street 1:8415 ABINGDON RD
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-2101
Practice Address - Country:US
Practice Address - Phone:718-849-1436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-26
Last Update Date:2010-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program