Provider Demographics
NPI:1225644248
Name:DANILOVA RUFINA YAKUBOV AUDIOLOGY HEARING PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:DANILOVA RUFINA YAKUBOV AUDIOLOGY HEARING PROFESSIONAL CORPORATION
Other - Org Name:J&D HEARING AUDIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RUFINA
Authorized Official - Middle Name:DANILOVA
Authorized Official - Last Name:YAKUBOV
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:718-490-7195
Mailing Address - Street 1:156 WILLIAM ST FRNT 1
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-2609
Mailing Address - Country:US
Mailing Address - Phone:718-490-7195
Mailing Address - Fax:
Practice Address - Street 1:156 WILLIAM ST FRNT 1
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-2609
Practice Address - Country:US
Practice Address - Phone:718-490-7195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-16
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty