Doctor Name: | ROMAN YAKUBOV |
NPI Number: | 1538580287 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | B02674 |
Business Practice Address: | 2526 50th St Ste 206d Woodside, NY - 113777836 |
Business Phone Number: | 7185457555 |
Business Fax Number: | 7185457556 |
Mailing Address: | 2526 50th St Ste 206d, WOODSIDE |
State: | NY |
Postal Code: | 113777836 |
Phone Number: | 7185457555 |
Fax Number: | 7185457556 |
NPI Enumeration Date: | 12/25/2013 |
NPI Last Update Date: | 12/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 344600000X |
License Number: | B02674 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Taxi |
Taxonomy Specialization: | |
Taxonomy Definition: | A land commercial vehicle used for the transporting of persons in non-emergency situations. The vehicle meets local, county or state regulations set forth by the jurisdictions where it is located. |