Healthcare Provider Details

I. General information

NPI: 1134732126
Provider Name (Legal Business Name): ON TIME MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2020
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6740 BOOTH ST APT 6G
FOREST HILLS NY
11375-2773
US

IV. Provider business mailing address

6740 BOOTH ST APT 6G
FOREST HILLS NY
11375-2773
US

V. Phone/Fax

Practice location:
  • Phone: 347-265-5101
  • Fax:
Mailing address:
  • Phone: 347-265-5101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. YANA ABAYEV
Title or Position: MEDICAL DIRECTOR
Credential: DO
Phone: 347-265-5101