Individual provider · Type 1 NPI

Lilia Yakutelov, PA

Medical Physician Assistant · New Hyde Park, NY

NPI number 1144493578 Active

Practice location

410 Lakeville Rd
New Hyde Park, NY 11042-1101

Call (718) 470-8784 Map

Mailing address

8318 Homelawn St
Jamaica, NY 11432-2150

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X012487 (NY)
Pharmacist 183500000X059737 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1144493578

Lilia Yakutelov, PA's National Provider Identifier is 1144493578, issued on Apr 7, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Hyde Park, NY. The record was last updated on Oct 6, 2014.