Provider Demographics
NPI:1902113780
Name:BABAYEVA, MAYYA (RN)
Entity Type:Individual
Prefix:
First Name:MAYYA
Middle Name:
Last Name:BABAYEVA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6329 DRY HARBOR RD
Mailing Address - Street 2:MIDDLE VILLAGE
Mailing Address - City:MIDDLE VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11379-1964
Mailing Address - Country:US
Mailing Address - Phone:718-396-0792
Mailing Address - Fax:
Practice Address - Street 1:75 MAIDEN LANE
Practice Address - Street 2:GOTHAM PER DIEM INC
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038
Practice Address - Country:US
Practice Address - Phone:212-477-3600
Practice Address - Fax:212-477-0795
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY585546-1163W00000X
NYF341161-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse