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Contact Information

MIKHAIL YAKUBOV, DO
5719 157TH ST
FLUSHING, NY11355-5518
 Phone: 718-463-6467
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MIKHAIL YAKUBOV · (Male)

NPI # 1861662496
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/11/2008
Last updated 05/12/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E-16970
  • CT License # 55791
  • DE License # C2-0011981
  • IN License # 02004914A
  • MA License # 269216
  • MD License # H82229
  • ME License # DO2661
  • MI License # 5101022873
  • NJ License # 25MB10036300
  • NY License # 246668
  • OH License # 34.012471
  • PA License # OS018620
  • RI License # DO00841
  • VT License # 032.0122521
  • WI License # 2819-321
Hospital affiliation(s)
  • SOUTH NASSAU COMMUNITIES HOSPITAL - (Acute Care)
    ONE HEALTHY WAY
    OCEANSIDE, NY 11572
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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