Yakubov, Yuriy
Yakubov, Yuriy is an sole proprietor health care provider with primary practice located at 6612 102Nd St , Rego Park NY 11374-4524. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Yakubov, Yuriy can be contacted via phone (718) 997-6660.Contact Information
Primary practice address
6612 102Nd St
Rego Park NY 11374-4524
Phone: (718) 997-6660
Fax: (718) 997-8118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 047721 | New York |
Profile Details
| NPI number | 1295725984 |
|---|---|
| LBN Legal business name | Yakubov, Yuriy |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295725984 | NPPES |
| New York | MEDICAID | 01865223 |
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