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Individual

SARA YAKUBOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
56 PONDEROSA DR, LAKEWOOD, NJ 08701-5157
(718) 962-4149
Mailing address
56 PONDEROSA DR, LAKEWOOD, NJ 08701-5157
(718) 962-4149

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
352409
NY

Other

Enumeration date
07/31/2023
Last updated
08/28/2023
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