Individual
RACHEL LIORA YAKUBOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12 N BROADWAY APT 2B, YONKERS, NY 10701-7064
(718) 866-4569
Mailing address
11045 62ND DR, FOREST HILLS, NY 11375-1234
(917) 617-2363
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
801871
NY
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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