Abayev, Emanuel

Abayev, Emanuel is an sole proprietor health care provider with primary practice located at 7505 Parsons Blvd , Flushing NY 11366-1037. He recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / General Practice. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Abayev, Emanuel can be contacted via phone (718) 380-1230.

Contact Information

Primary practice address
7505 Parsons Blvd Flushing NY 11366-1037
Phone: (718) 380-1230
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 056590-1 New York
Dental Providers / General Practice 1223G0001X 056590-1 New York

Profile Details

NPI number 1861789638
LBN Legal business name Abayev, Emanuel
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2011
Last updated Mar 25th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861789638 NPPES
New York MEDICAID 03643547

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