Provider Demographics
NPI:1033582010
Name:LABKO, YULIYA (CRNM)
Entity Type:Individual
Prefix:MS
First Name:YULIYA
Middle Name:
Last Name:LABKO
Suffix:
Gender:F
Credentials:CRNM
Other - Prefix:MS
Other - First Name:YULIYA
Other - Middle Name:
Other - Last Name:LABKO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN, CNM
Mailing Address - Street 1:600 E GENESEE ST STE 323
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13202-3108
Mailing Address - Country:US
Mailing Address - Phone:315-426-1100
Mailing Address - Fax:410-749-0654
Practice Address - Street 1:1245 HIGHLAND AVE STE 109
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3722
Practice Address - Country:US
Practice Address - Phone:215-481-4212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-12
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001881176B00000X
MDR207715367A00000X
PAMW010633367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD119591300Medicaid
MDS118Medicare PIN
MD119591300Medicaid