Provider Demographics
NPI:1871201202
Name:BABABEKOVA, SOFYA (FNP-C)
Entity type:Individual
Prefix:
First Name:SOFYA
Middle Name:
Last Name:BABABEKOVA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10525 64TH AVE
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-1640
Mailing Address - Country:US
Mailing Address - Phone:718-459-3494
Mailing Address - Fax:718-606-6069
Practice Address - Street 1:10525 64TH AVE
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-1640
Practice Address - Country:US
Practice Address - Phone:718-459-3494
Practice Address - Fax:718-606-6069
Is Sole Proprietor?:No
Enumeration Date:2022-11-15
Last Update Date:2024-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF349415-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF03240876OtherTHE AMERICAN ACADEMY OF NURSE PRACTITIONERS NATIONAL CERTIFICATION BOARD, INC.