Individual
MRS. YAFA YAKUBOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14738 71ST RD, FLUSHING, NY 11367-2011
(917) 435-0951
Mailing address
14738 71ST RD, FLUSHING, NY 11367-2011
(917) 435-0951
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010636
NY
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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