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General NPI Number Information
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NPI Number | 1134732126
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Entity Type | Organization
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Legal Business Name | ON TIME MEDICAL PC
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 6740 BOOTH ST APT 6G
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City | FOREST HILLS
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State | NY
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Zip | 11375-2773
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Country | US
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Telephone | 347-265-5101
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Fax |
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Provider Business Mailing Address
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Address Line | 6740 BOOTH ST APT 6G
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City | FOREST HILLS
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State | NY
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Zip | 11375-2773
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Country | US
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Telephone | 347-265-5101
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. YANA ABAYEV
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Credential | DO
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Telephone | 347-265-5101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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