# RAFAEL YAAKOBOV FAMILY HEALTH NP PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518627512
- **Authorized official:** RAFAEL YAAKOBOV NP (CEO)
- **Authorized official phone:** (347) 836-3045

## Contact information

- **Practice address:** 6405 YELLOWSTONE BLVD STE CF104, FOREST HILLS, NY 11375-1588
- **Practice address phone:** (347) 836-3045
- **Mailing address:** 6405 YELLOWSTONE BLVD STE CF104, FOREST HILLS, NY 11375-1588
- **Mailing address phone:** (347) 836-3045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2021
- **Last updated:** 12/19/2021