Provider Demographics
NPI:1962002212
Name:YAKKEY, MARIA E (LAC)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:E
Last Name:YAKKEY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:45 MIDWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-5350
Mailing Address - Country:US
Mailing Address - Phone:631-404-7073
Mailing Address - Fax:631-751-8298
Practice Address - Street 1:1213 A MONTAUK HWY
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:NY
Practice Address - Zip Code:11769-1702
Practice Address - Country:US
Practice Address - Phone:516-250-0101
Practice Address - Fax:631-751-8298
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006831-01171100000X
NY006837171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist