Rachel Liora Yakubov, RN

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

801871 Issued in NY

Practice address

12 N Broadway Apt 2B
Yonkers, NY 10701-7064

Phone

(718) 866-4569

NPI assigned

Oct 19, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1801495148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11045 62ND DR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751234",
            "telephone_number": "917-617-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N BROADWAY APT 2B",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107017064",
            "telephone_number": "718-866-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKUBOV",
        "first_name": "RACHEL",
        "middle_name": "LIORA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "801871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roslyn Tabitha Wynder, LPN
• Joan Wynter
• Kamila Wysocki, COTA
• Jing Xiao, MD
• Gina Sarah Yaghoubi, DPT
• Alina Yakubova
• Akino Irene Yamashita, M.D.
• Evelyn Yang, OTR/L
• Lyle Vincent Yap-Separovich, DO
• Leding U Yap, MD

• Early Intervention Provider Agency in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.