Individual
DR. YAACOV PUSHKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5213 HICKORY PARK DR STE A, GLEN ALLEN, VA 23059-2617
(804) 237-8030
(804) 237-8028
Mailing address
5213 HICKORY PARK DR STE A, GLEN ALLEN, VA 23059-2617
(804) 237-8030
(804) 237-8028
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101047546
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010101000 541581185
—
VA
Enumeration date
10/17/2006
Last updated
05/11/2012
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