# NY GASTROENTEROLOGY & LIVER DISEASE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NY Gastroenterology & Liver Disease PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467161349
- **Authorized official:** STANLEY YAKUBOV (MD)
- **Authorized official phone:** (929) 588-9800

## Contact information

- **Practice address:** 9932 66TH RD, REGO PARK, NY 11374-4462
- **Practice address phone:** (929) 588-9800
- **Practice address fax:** (929) 376-0856
- **Mailing address:** 9932 66TH RD STE LE, REGO PARK, NY 11374-4405
- **Mailing address phone:** (929) 588-9800
- **Mailing address fax:** (929) 376-0856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/18/2022
- **Last updated:** 09/02/2025