Provider Demographics
NPI:1922281492
Name:YAKOBOVICH, INNA (PHARM D)
Entity Type:Individual
Prefix:
First Name:INNA
Middle Name:
Last Name:YAKOBOVICH
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1528 E 32ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-3455
Mailing Address - Country:US
Mailing Address - Phone:646-526-3822
Mailing Address - Fax:646-219-3209
Practice Address - Street 1:1532 86TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-3431
Practice Address - Country:US
Practice Address - Phone:718-234-8444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-07
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049352183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist