| Mikhail Yakubov, D.o., Pllc | |
|
5719 157th St Flushing NY 11355-5518 | |
| (718) 973-1199 | |
| Not Available |
| Full Name | Mikhail Yakubov, D.o., Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5719 157th St, Flushing, New York |
| Authorized Official Name and Position | Mikhail Yakubov (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7189731199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mikhail Yakubov, D.o., Pllc 5719 157th St Flushing NY 11355 Ph: (718) 973-1199 | Mikhail Yakubov, D.o., Pllc 5719 157th St Flushing NY 11355-5518 Ph: (718) 973-1199 |
| NPI Number | 1427801521 |
|---|---|
| Provider Enumeration Date | 04/09/2024 |
| Last Update Date | 04/09/2024 |
| Medicare PECOS PAC ID | 2769822733 |
|---|---|
| Medicare Enrollment ID | O20240425000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427801521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Mikhail Yakubov |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861662496 PECOS PAC ID: 1557424660 Enrollment ID: I20090116000002 |
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