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Individual
ISABEL YOMTOBIAN
Active
Individual
ISABEL YOMTOBIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0259021
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0142696
GHI
—
01
—
0194347
GHI
—
01
—
0259021
1199
—
01
—
IY0Q93G010
BLUE SHIELD
—
01
—
P3807037
OXFORD
—
Enumeration date
10/06/2006
Last updated
05/03/2011
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