Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ea PA Health PC

Organization Physician Assistant · NPI 1154275097

Ea PA Health PC is a Physician Assistant in Kew Gardens, New York. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11909 Audley St
Kew Gardens, NY 11415-1342
Phone: (212) 380-6988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1154275097
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emanuel Avezbakiyev — Founder · (212) 380-6988
NPI enumeratedFebruary 26, 2026
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026
Mailing address11819 83rd Ave, Kew Gardens, NY 11415-1301

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