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Individual

MARKIEL YAKUBOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
105 81ST AVE, KEW GARDENS, NY 11415-1107
(347) 403-3877
Mailing address
105 81ST AVE, KEW GARDENS, NY 11415-1107
(347) 403-3877

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007877-1
NY

Other

Enumeration date
06/20/2012
Last updated
09/15/2022
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