Organization · NPI-2

Albert Baravarian M.D., PC

· Jackson Heights, NY

NPI number1124936794
StatusActive
Last updated in NPPESSep 1, 2026

Details

NPI
1124936794
Entity type
Organization (NPI-2)
Legal business name
Albert Baravarian M.D., PC
Organization subpart
No
Enumeration date
Sep 1, 2026
Certification date
Sep 1, 2026
Last updated
Sep 1, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0000X ––Yes
207R00000X Internal Medicine––

Practice location

3741 77th St
Jackson Heights, NY 11372-6629

Phone 516-510-5067

Mailing address

146 Stratford N
Roslyn Heights, NY 11577-2316

Authorized official

Albert Baravarian
President
5165105067

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