Individual
MILANA YAKUBOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
770 EMPIRE AVE, FAR ROCKAWAY, NY 11691-4835
(347) 444-1468
Mailing address
770 EMPIRE AVE, FAR ROCKAWAY, NY 11691-4835
(347) 444-1468
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
627802
NY
163WG0000X
General Practice Registered Nurse
Primary
627802
NY
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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