Individual
BAHISHTA YAQUBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(904) 206-3507
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(904) 206-3507
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME137122
FL
Other
Enumeration date
05/06/2015
Last updated
05/30/2019
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