Individual
FADI YACOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
(718) 270-2030
Mailing address
450 CLARKSON AVE # 1262, BROOKLYN, NY 11203-2012
(718) 270-2030
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
318838
NY
207RC0000X
Cardiovascular Disease Physician
Primary
25MA11478600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2019
Last updated
04/07/2026
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