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1518156082
YEVGENIY YAKUBOV
BROOKLYN, NY
NPI
1518156082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 012162)
Enumeration Date
2007-10-19
Last Update Date
2022-12-05
Business Address
YEVGENIY YAKUBOV PA
760 BROADWAY
BROOKLYN, NY 11206
Phone number: 718-963-8786
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Mailing Address
YEVGENIY YAKUBOV PA
760 BROADWAY
BROOKLYN, NY 11206
Phone number: 718-963-8786
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