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Organization

R.Y. FNP PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAFAEL YAAKABOV FNP (PRESIDENT)
(347) 836-3045
Entity
Organization

Contact information

Practice address
211 ESSEX ST STE 106, HACKENSACK, NJ 07601-3244
(347) 836-3045
Mailing address
211 ESSEX ST STE 106, HACKENSACK, NJ 07601-3244
(347) 836-3045

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
12/04/2024
Last updated
12/04/2024
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