Sigal L Ytshakov
Specialist in Far Rockaway, NY. Individual provider (NPI-1).
NPI number1265036636
StatusActive
Last updated in NPPESNov 30, 2020
Details
- NPI
- 1265036636
- Entity type
- Individual (NPI-1)
- Name
- Sigal L Ytshakov
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 25, 2020
- Certification date
- Nov 30, 2020
- Last updated
- Nov 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 1445599201 | NY | Yes |
Practice location
1016 Dickens StFar Rockaway, NY 11691-2407
Phone 516-526-0667
Mailing address
1016 Dickens StFar Rockaway, NY 11691-2407
Phone 516-526-0667
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All 77 Specialist providers in Far Rockaway · All 2,045 providers in Far Rockaway
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