Provider Demographics
NPI:1851354997
Name:HADJIEV, BOYAN (MD)
Entity Type:Individual
Prefix:DR
First Name:BOYAN
Middle Name:
Last Name:HADJIEV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 E 40TH ST RM 1200
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-1236
Mailing Address - Country:US
Mailing Address - Phone:212-679-1200
Mailing Address - Fax:
Practice Address - Street 1:30 E 40TH ST RM 1200
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-1236
Practice Address - Country:US
Practice Address - Phone:212-679-1200
Practice Address - Fax:212-679-3494
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY228879207R00000X, 207RA0201X, 2080P0201X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
No2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYI48593Medicare UPIN