Individual provider · NPI-1

Yelena Abayev, DPT

Physical Therapist, Pediatrics · Jamaica, NY

NPI number1003061359
StatusActive
Last updated in NPPESNov 28, 2008

Details

NPI
1003061359
Entity type
Individual (NPI-1)
Name
Yelena Abayev
Credential
DPT
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 28, 2008
Last updated
Nov 28, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2251P0200X Physical Therapist, Pediatrics022234NYYes
2251X0800X Physical Therapist, Orthopedic022234NY

Practice location

13701 83rd Ave Apt 6f
Jamaica, NY 11435-1527

Phone 917-597-4146 · Fax 718-847-0140

Mailing address

13701 83rd Ave Apt 6f
Jamaica, NY 11435-1527

Phone 917-597-4146 · Fax 718-847-0140

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