| Vyacheslav Dabakarov, | |
|
7315 194th St, Fresh Meadows, NY 11366-1835 | |
| (347) 684-6605 | |
| Not Available |
| Full Name | Vyacheslav Dabakarov |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 7315 194th St, Fresh Meadows, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306477955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 345472 (New York) | Primary |
| Entity Name | Allergy Asthma and Eczema Care of Queens PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881311967 PECOS PAC ID: 1557800653 Enrollment ID: O20240903001310 |
| Mailing Address | Practice Location Address |
|---|---|
| Vyacheslav Dabakarov, 7315 194th St, Fresh Meadows, NY 11366-1835 Ph: (347) 684-6605 | Vyacheslav Dabakarov, 7315 194th St, Fresh Meadows, NY 11366-1835 Ph: (347) 684-6605 |
Rei Mijung Kim, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6750i 192nd St, Fresh Meadows, NY 11365 Phone: 347-585-0007 |
Mr. Bryan Thomas Snipe, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16040 78th Rd, Fresh Meadows, NY 11366 Phone: 347-776-1617 |
Daniella Yakubov, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7502 186th St, Fresh Meadows, NY 11366 Phone: 718-223-0300 |
Mindy S Loren-weiner, NPP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6732 185th St, Fresh Meadows, NY 11365 Phone: 718-380-4989 |
Sofiya Shimonova, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7638 176th St, Fresh Meadows, NY 11366 Phone: 646-651-2262 |
Ms. Cheng Ye, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5722 161st St, Fresh Meadows, NY 11365 Phone: 917-831-0557 |
Yana Babadzhanova, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7322 171st St, Fresh Meadows, NY 11366 Phone: 718-570-7289 |