Organization
IY NP IN ADULT HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IOSIF YAKUBOV (OWNER)
(917) 443-4411
Entity
Organization
Contact information
Practice address
2324 E 74TH ST, BROOKLYN, NY 11234-6626
(917) 443-4411
Mailing address
2324 E 74TH ST, BROOKLYN, NY 11234-6626
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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