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NPI Code Detail

MEDICARE: YAKHIYEL PILOSOV

MEDICARE:   YAKHIYEL  PILOSOV
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 Physician199924NY

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 : 1548477466
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAKHIYEL PILOSOV
Provider Business Mailing Address
First Line : 68-80 SCHERMERHORN STREET
Second Line :
City : BROOKLYN
State : NY
Zip : 11201
Country : US
Telephone Number : 718-858-7200
Fax Number : 718-858-5007
Provider Business Practice Location Address
First Line : 15 DENISE CT
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-5802
Country : US
Telephone Number : 718-605-6887
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2007
Last Update Date : 07/08/2007

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Directions to “ YAKHIYEL PILOSOV ” Practice Location

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