Individual
NADINE YAMOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5723 141ST ST, FLUSHING, NY 11355-5318
(718) 661-2222
Mailing address
2827 HOBART ST, WOODSIDE, NY 11377-7818
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
026106-01
NY
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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