Individual
MICHAEL YAKUBOV JACOBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8335 139TH ST, APT 1R, JAMAICA, NY 11435-1600
(917) 254-8854
(509) 351-8279
Mailing address
8335 139TH ST, APT 1R, JAMAICA, NY 11435-1600
(917) 254-8854
(509) 351-8279
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
274080
NY
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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