Individual
LEV YAKUBOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
56-45 MAIN STREET, CRT SURGICAL ASSOCIATES, PC, FLUSHING, NY 11355-5045
(718) 445-0220
(718) 939-1167
Mailing address
56-45 MAIN STREET, CRT SURGICAL ASSOCIATES, PC, FLUSHING, NY 11355-5045
(718) 445-0220
(718) 939-1167
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
'010126
NY
363AS0400X
Surgical Physician Assistant
010126
NY
Other
Enumeration date
06/15/2006
Last updated
11/18/2022
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