Individual
DR. MARINA B YAKUBOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13827 82ND DR, 1ST FLOOR, JAMAICA, NY 11435-1127
(718) 487-8009
Mailing address
13827 82ND DR, 1ST FLOOR, JAMAICA, NY 11435-1127
(718) 487-8009
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
56949
CT
363A00000X
Physician Assistant
008505-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2007
Last updated
01/23/2018
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