Mikhail Abayev
Physical Therapist in Great Neck, NY. Individual provider (NPI-1).
NPI number1629500467
StatusActive
Last updated in NPPESMar 30, 2017
Details
- NPI
- 1629500467
- Entity type
- Individual (NPI-1)
- Name
- Mikhail Abayev
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 30, 2017
- Last updated
- Mar 30, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 041021 | NY | Yes |
Practice location
475 Northern BlvdSuite 11
Great Neck, NY 11021-4819
Phone 516-829-0030 · Fax 516-466-7723
Mailing address
475 Northern BlvdSuite 29
Great Neck, NY 11021-4819
Phone 516-829-0030 · Fax 516-466-7723
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