Individual
MAKEEN KHALIL YACOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDFRCS
Contact information
Practice address
9 GRAND STREET, WARWICK, NY 10990
(845) 986-5121
(845) 988-5131
Mailing address
9 GRAND STREET, PO BOX 934, WARWICK, NY 10990
(845) 986-5121
(845) 988-5131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
152366
NY
208600000X
Surgery Physician
152366
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0034259
GHI
NY
05
—
01055590
—
NY
01
—
1000015413
AFFINITY
NY
01
—
10576
AMERIGROUP
NJ
01
—
14867
HUDSON HEALTH
NY
01
—
3010366
AETNA HMO
NY
01
—
37414
AETNA
NJ
01
—
4531177
CIGNA
NJ
01
—
4531177
AETNA
NY
01
—
4C1598
HEALTH NET
NY
01
—
5358892
CIGNA
NY
01
—
5358892010
CIGNA HMO
NY
01
—
738828
UNITED HEALTHCARE
NY
01
—
F04747
HEALTH NET
NJ
01
—
P44374095
MULTIPEAN
NY
01
—
P462464
OXFORD
NY
01
—
PIRS27858P
HIP
NY
Enumeration date
07/19/2006
Last updated
09/11/2025
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