Individual
HRYHORY YAKYMIV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 SPRUCE ST, PHILADELPHIA, PA 19102-4502
(215) 790-3290
Mailing address
1500 SPRUCE ST, PHILADELPHIA, PA 19102-4502
(215) 790-3290
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP018866
PA
363LP2300X
Primary Care Nurse Practitioner
SP018866
PA
Other
Enumeration date
07/05/2018
Last updated
09/07/2023
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