Individual
MARIYA YAKUBOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
764 CAMPBELL AVE STE F, WEST HAVEN, CT 06516-3786
(203) 443-9500
(203) 902-0509
Mailing address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 739-6586
(203) 739-1614
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
303909
NY
363LA2200X
Adult Health Nurse Practitioner
8776
CT
363LF0000X
Family Nurse Practitioner
Primary
8776
CT
Other
Enumeration date
01/16/2007
Last updated
11/06/2025
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