Emanuel Yaakobov, FNP
Internal Medicine, Gastroenterology in Forest Hills, NY. Individual provider (NPI-1).
NPI number1194319087
StatusActive
Last updated in NPPESFeb 22, 2021
Details
- NPI
- 1194319087
- Entity type
- Individual (NPI-1)
- Name
- Emanuel Yaakobov
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2021
- Certification date
- Feb 22, 2021
- Last updated
- Feb 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 347362 | NY | Yes |
Practice location
10816 72nd Ave Ste 2Forest Hills, NY 11375-5656
Phone 718-261-0900
Mailing address
10326 68th Rd Apt B56Forest Hills, NY 11375-3272
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