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NPI Code Detail

MEDICARE: IOSIF YAKUBOV ANP

MEDICARE: IOSIF YAKUBOV ANP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerF407702NY
2363LA2200XAdult Health Nurse PractitionerF305897NY

General Provider Information

NPI Number : 1801172895
Entity Type Code : Individual
Provider Name (Legal Business Name) : IOSIF YAKUBOV ANP
Provider Business Mailing Address
First Line : 3392 GUIDER AVE
Second Line : APT #5
City : BROOKLYN
State : NY
Zip : 11235-5276
Country : US
Telephone Number : 917-443-4411
Fax Number :
Provider Business Practice Location Address
First Line : 506 6TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-3609
Country : US
Telephone Number : 718-780-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2011
Last Update Date : 04/15/2026

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Directions to “ IOSIF YAKUBOV ANP” Practice Location

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