Avital Yagudaev is a Medical in Rego Park, New York. Avital Yagudaev practices all healthcare services and medical treatments related to Medical. The NPI Number for Avital Yagudaev is 1164594156. The last update date is 2008-01-06.
Avital Yagudaev's current location address is 9931 64th Ave, Rego Park, New York. You can contact this provider via phone number 7188973940. The mailing address for Avital Yagudaev is 9931 64th Ave, Rego Park, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Avital Yagudaev |
|---|---|
| Address | 9931 64th Ave, Rego Park, New York |
| Phone Number | 7188973940 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1164594156 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2008-01-06 |
Provider Mailing Address Detail
| Address | 9931 64th Ave |
|---|---|
| City | Rego Park |
| State | New York (NY) |
| Post Code | 113742652 |
| Phone Number | 7188973940 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 9742 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the Avital Yagudaev's 1164594156?
The Avital Yagudaev's NPI (National Provider Identifier) Number is 1164594156. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Avital Yagudaev?
The Avital Yagudaev is physically situated at 9931 64Th Ave, in the city of Rego Park, state of NY, with the postal code 113742652.
What is the Avital Yagudaev's specialty and taxonomy code?
The Avital Yagudaev's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did the Avital Yagudaev receive its 1164594156 assignment from the Centers for Medicare & Medicaid Services?
The Avital Yagudaev was assigned its 1164594156 by the Centers for Medicare & Medicaid Services on 2006-11-14.
When was the Avital Yagudaev's information last updated?
The Avital Yagudaev's information was last updated on 2008-01-06.
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