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Organization
RAFAEL YAAKOBOV FAMILY HEALTH NP PC
Active
Organization
RAFAEL YAAKOBOV FAMILY HEALTH NP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL YAAKOBOV NP (CEO)
(347) 836-3045
Entity
Organization
Contact information
Practice address
6405 YELLOWSTONE BLVD STE CF104, FOREST HILLS, NY 11375-1588
(347) 836-3045
Mailing address
6405 YELLOWSTONE BLVD STE CF104, FOREST HILLS, NY 11375-1588
(347) 836-3045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/19/2021
Last updated
12/19/2021
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