Individual
MISS ALEXANDRA YAKUBOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
13124 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11420-2932
(718) 659-7166
Mailing address
13124 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11420-2932
(718) 659-7166
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013844
NY
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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