Individual
AHUVA YOMTOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
74 WALLABOUT ST, BROOKLYN, NY 11249-7830
(718) 260-4600
Mailing address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
(347) 982-6547
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
029179
NY
Other
Enumeration date
09/14/2022
Last updated
10/13/2023
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