Individual
IOSIF YAKUBOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3000
Mailing address
3392 GUIDER AVE, APT #5, BROOKLYN, NY 11235-5276
(917) 443-4411
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
F305897
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F407702
NY
Other
Enumeration date
10/23/2011
Last updated
04/15/2026
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