Individual
ROMAN YAKUBOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2526 50TH ST STE 206D, WOODSIDE, NY 11377-7836
(718) 545-7555
(718) 545-7556
Mailing address
2526 50TH ST STE 206D, WOODSIDE, NY 11377-7836
(718) 545-7555
(718) 545-7556
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
B02674
NY
Other
Enumeration date
12/25/2013
Last updated
12/25/2013
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