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Organization
NY GASTROENTEROLOGY & LIVER DISEASE PC
Active
Organization
NY GASTROENTEROLOGY & LIVER DISEASE PC
Active
Other names
NY Gastroenterology & Liver Disease PC
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY YAKUBOV (MD)
(929) 588-9800
Entity
Organization
Contact information
Practice address
9932 66TH RD, REGO PARK, NY 11374-4462
(929) 588-9800
(929) 376-0856
Mailing address
9932 66TH RD STE LE, REGO PARK, NY 11374-4405
(929) 588-9800
(929) 376-0856
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
11/18/2022
Last updated
09/02/2025
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