Provider Demographics
NPI:1114126786
Name:YAKUBOV, JULIA (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:
Last Name:YAKUBOV
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:MS
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:BURMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:2315 E 74TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-6625
Mailing Address - Country:US
Mailing Address - Phone:917-443-3199
Mailing Address - Fax:
Practice Address - Street 1:2753 CONEY ISLAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-5015
Practice Address - Country:US
Practice Address - Phone:718-769-8400
Practice Address - Fax:718-769-3255
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029402225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist