| Mariya Yakutilova | |
|
10812 72nd Ave Forest Hills NY 11375-7079 | |
| (646) 402-4543 | |
| Not Available |
| Full Name | Mariya Yakutilova |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10812 72nd Ave, Forest Hills, New York |
| Authorized Official Name and Position | Mariya Yakutilova (COTA) |
| Authorized Official Contact | 6464024543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mariya Yakutilova 9823 Horace Harding Expy Apt 6e Corona NY 11368-4258 Ph: (646) 402-4543 | Mariya Yakutilova 10812 72nd Ave Forest Hills NY 11375-7079 Ph: (646) 402-4543 |
| NPI Number | 1962812958 |
|---|---|
| Provider Enumeration Date | 04/30/2014 |
| Last Update Date | 04/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962812958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 007061 (New York) | Primary |
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Yes Psychotherapy Services Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10915 Queens Blvd, Ll, Forest Hills, NY 11375 Phone: 718-896-5615 Fax: 718-576-2693 | |
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Geriatric Psychological Services Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118-35 Queens Blvd., Suite 1403, Forest Hills, NY 11375 Phone: 718-268-6600 | |
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