Provider Demographics
NPI:1326891938
Name:AAA NATURALS INC.
Entity Type:Organization
Organization Name:AAA NATURALS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ELI
Authorized Official - Middle Name:
Authorized Official - Last Name:YAKUBOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-757-0465
Mailing Address - Street 1:5 BREWSTER ST STE 527
Mailing Address - Street 2:
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-2549
Mailing Address - Country:US
Mailing Address - Phone:718-757-0465
Mailing Address - Fax:
Practice Address - Street 1:2027 EMMONS AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2781
Practice Address - Country:US
Practice Address - Phone:718-757-0465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty