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NPI Code Detail

MEDICARE: REGINA YAKUBOVA PHARMD

MEDICARE: REGINA YAKUBOVA PHARMD
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
1183500000XPharmacist20057263NY

General Provider Information

NPI Number : 1912258799
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGINA YAKUBOVA PHARMD
Provider Business Mailing Address
First Line : 519 GATEWAY DR
Second Line :
City : BROOKLYN
State : NY
Zip : 11239-2801
Country : US
Telephone Number : 917-434-7132
Fax Number :
Provider Business Practice Location Address
First Line : 519 GATEWAY DR
Second Line :
City : BROOKLYN
State : NY
Zip : 11239-2801
Country : US
Telephone Number : 917-434-7132
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2012
Last Update Date : 03/12/2013

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