Individual
BATOUL YAGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
69 PHEASANT LN BSMT, STATEN ISLAND, NY 10309-1969
(347) 777-2057
Mailing address
69 PHEASANT LN BSMT, STATEN ISLAND, NY 10309-1969
(347) 777-2057
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
03046401
NY
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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