Provider Demographics
NPI:1760821938
Name:ABAYEV, YANA (DO)
Entity Type:Individual
Prefix:DR
First Name:YANA
Middle Name:
Last Name:ABAYEV
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3111 BRIGHTON 1ST PL
Mailing Address - Street 2:APT. 5J
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-7649
Mailing Address - Country:US
Mailing Address - Phone:347-265-5101
Mailing Address - Fax:
Practice Address - Street 1:3111 BRIGHTON 1ST PL
Practice Address - Street 2:APT. 5J
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-7649
Practice Address - Country:US
Practice Address - Phone:347-265-5101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-20
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program