Individual
MR. YAKOV ASHEROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
81-15 164TH STREET, JAMAICA, NY 11432-1118
(718) 380-3000
(718) 969-6177
Mailing address
8115 164TH ST, JAMAICA, NY 11432-1118
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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