Provider Demographics
NPI:1184388415
Name:YAKYMIV, YULIYA (PHARMD)
Entity type:Individual
Prefix:
First Name:YULIYA
Middle Name:
Last Name:YAKYMIV
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5577 PIAZZA LN
Mailing Address - Street 2:
Mailing Address - City:CLAY
Mailing Address - State:NY
Mailing Address - Zip Code:13041-8642
Mailing Address - Country:US
Mailing Address - Phone:315-657-0669
Mailing Address - Fax:
Practice Address - Street 1:3325 W GENESEE ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13219-1397
Practice Address - Country:US
Practice Address - Phone:315-487-1585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-22
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY068405183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist