Individual
DIANA YAKUBOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(347) 757-2617
Mailing address
150 55TH ST, BROOKLYN, NY 11220-2508
(347) 504-4826
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309948
NY
Other
Enumeration date
10/29/2020
Last updated
07/06/2023
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