Provider Demographics
NPI:1205265352
Name:YAKIR, ANNA (RN)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:
Last Name:YAKIR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2940 W 5TH ST
Mailing Address - Street 2:APARTMENT #19C
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-3832
Mailing Address - Country:US
Mailing Address - Phone:917-692-0476
Mailing Address - Fax:
Practice Address - Street 1:2940 W 5TH ST
Practice Address - Street 2:APARTMENT #19C
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-3832
Practice Address - Country:US
Practice Address - Phone:917-692-0476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6431471163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse