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NPI Code Detail

MEDICARE: DR. YULIYA VINOKUROVA M.D.

MEDICARE:  DR. YULIYA  VINOKUROVA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician210853NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568448132
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YULIYA VINOKUROVA M.D.
Provider Business Mailing Address
First Line : 55 OCEANA DR E # 3B
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-6695
Country : US
Telephone Number : 718-375-6500
Fax Number : 718-375-3667
Provider Business Practice Location Address
First Line : 1928 BAY AVE STE 100200
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-6214
Country : US
Telephone Number : 718-375-6500
Fax Number : 718-375-3667
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2005
Last Update Date : 05/29/2014

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