Individual
MR. MIKHAIL YAKUBOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 W 17TH ST, NEW YORK, NY 10011-5513
(212) 427-8761
(212) 427-8762
Mailing address
55 W 17TH ST, NEW YORK, NY 10011-5513
(212) 427-8761
(212) 427-8762
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
281650-1
NY
207RG0100X
Gastroenterology Physician
Primary
281650-1
NY
Other
Enumeration date
04/18/2012
Last updated
03/17/2022
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