Individual
DR. INNA YAKUBOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
82-24 141ST STREET, BRIARWOOD, NY 11435
(718) 544-0977
(718) 544-0050
Mailing address
82-24 141ST STREET, BRIARWOOD, NY 11435
(718) 544-0977
(718) 544-0050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
046440
NY
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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