Dabakarov Family Health Nurse Practitioner PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DABAKAROV FAMILY HEALTH NURSE PRACTITIONER PC

Practice address

7315 194TH St
Fresh Meadows, NY 11366-1835

Phone

(347) 684-6605

NPI assigned

May 8, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vyacheslav Dabakarov

Title

Owner

Phone

(347) 684-6605

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nadegda Kandchorov

  • Family Nurse Practitioner
  • Fresh Meadows, NY
  • NPI 1962241109
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1467142133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 194TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661835",
            "telephone_number": "347-684-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 194TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661835",
            "telephone_number": "347-684-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DABAKAROV FAMILY HEALTH NURSE PRACTITIONER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "DABAKAROV",
        "authorized_official_first_name": "VYACHESLAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-684-6605"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Cruz, OTR/L
• Crysti Mincey NP in Adult Health PC
• Angel Louis Cuevas, LCSW
• Nika Cuffie-Williams
• CVS Albany LLC
• Vyacheslav Dabakarov
• Mihaela Dajdea, PA
• Nicole Dalessio
• Denycia Dalrymple
• Alectra Dandridge, LMSW

• Clinic/Center in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.