Mariya Yakutilova

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

007061 Issued in NY

Legal business name

MARIYA YAKUTILOVA

Practice address

10812 72ND Ave
Forest Hills, NY 11375-7079

Phone

(646) 402-4543

NPI assigned

Apr 30, 2014

Organization subpart

No

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

Authorized official

Name

Mariya Yakutilova

Title

Cota

Phone

(646) 402-4543

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1962812958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9823 HORACE HARDING EXPY APT 6E",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684258",
            "telephone_number": "646-402-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10812 72ND AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757079",
            "telephone_number": "646-402-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIYA YAKUTILOVA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "YAKUTILOVA",
        "authorized_official_first_name": "MARIYA",
        "authorized_official_title_or_position": "COTA",
        "authorized_official_telephone_number": "646-402-4543"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "007061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margie R. Solovay
• Michael Richard Margiloff, DDS
• Marina Margolin, MD
• Kayla Jean Marinello
• John Marini
• Mark Avinoam Bitton MD PC
• Mark D Fromer, MD PC
• Mark M Pinkhasov DO PLLC
• Mark Molinsky DDS
• Danielle Zoya Mark

• Community/Behavioral Health Agency in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.