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Individual

DR. ADEEB YACOUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
109 W 27TH ST STE 5S, NEW YORK, NY 10001-6208
(833) 351-8255
Mailing address
109 W 27TH ST RM 5S, NEW YORK, NY 10001-6208
(833) 351-8255
(888) 815-3583

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
178589
CA
2084P0800X
Psychiatry Physician
Primary
220585
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02171864
NY
01
7711407
AETNA
NY
Enumeration date
07/21/2006
Last updated
05/18/2025
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