MEDICARE: MAGDALINA YAKUBOVA

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
1	183500000X	Pharmacist	063581	NY

General Provider Information

NPI Number	:	1457861858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAGDALINA YAKUBOVA

Provider Business Mailing Address
First Line	:	14411 73RD AVE
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11367-2412
Country	:	US
Telephone Number	:	718-908-8004
Fax Number	:

Provider Business Practice Location Address
First Line	:	3721 RIVERDALE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10463-1807
Country	:	US
Telephone Number	:	718-549-6709
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2017
Last Update Date	:	10/11/2017

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Directions to “ MAGDALINA YAKUBOVA ” Practice Location

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