Individual
STANLEY YAKUBOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9932 66TH RD, REGO PARK, NY 11374-4462
(929) 588-9800
(929) 376-0856
Mailing address
9932 66TH RD STE LE, REGO PARK, NY 11374-4405
(929) 588-9800
(929) 376-0856
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
276349
NY
207RG0100X
Gastroenterology Physician
Primary
276349
NY
Other
Enumeration date
04/01/2011
Last updated
12/26/2023
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