Individual provider · Type 1 NPI
Jacob Yacobov, FNP
Family Nurse Practitioner · Rego Park, NY
NPI number
1639015480
Active
Practice location
6360 102nd St Apt A17
Rego Park, NY 11374-2435
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 3783754 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1639015480
Jacob Yacobov, FNP's National Provider Identifier is 1639015480, issued on Apr 24, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rego Park, NY. The record was last updated on Apr 24, 2026.