YELENA YAKUTILOVA (NPI# 1073129110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073129110 |
| Entity Type | Individual |
| Full Name | YELENA YAKUTILOVA |
| Credential | PA |
| Practice Address |
5321 Flatlands Ave Brooklyn NY 11234-2322 |
| Mailing Address |
6333 Alderton St Rego Park NY 11374-2824 |
| Practice Telephone | 7185172244 |
| Mailing Telephone | 9178436436 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | 024298 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
024298 | NY | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
024298 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
5321 FLATLANDS AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11234-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457786733 | Advantage Physical Therapy of Nyc, P.c | Physical Therapist | 5321 Flatlands Ave, Brooklyn, NY 11234-2322 | 2013-09-05 |
| 1033588108 | Alfa Rehab Pt, P.C. | Physical Therapist | 5321 Flatlands Ave, Brooklyn, NY 11234-2322 | 2015-09-18 |
| 1619382280 | Universal Medical Acute Care PC | Clinic/Center | 5321 Flatlands Ave, Lower Level, Brooklyn, NY 11234-2322 | 2014-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000549 | Vanessa Clouden | Counselor | 651 East 59th St, Brooklyn, NY 11234 | 2020-07-17 |
| 1467098871 | Stephan Jean-claude | Licensed Practical Nurse | 853 Est 52nd St., Kings, NY 11234 | 2019-11-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1376199141 | Sabrina Boutros | Physician Assistant | 1618 East 34th Street, Brooklyn, NY 11234 | 2019-08-16 |
| 1740846252 | Angelie Dawn Banaybanay Flores | Physical Therapist | 3214 Kings Highway, Brooklyn, New York, NY 11234 | 2019-05-10 |
| 1891273033 | Diana Haughton-bennett | Nurse Practitioner | 2067 E 60th St, Brooklyn, NY 11234 | 2018-07-31 |
| 1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
| 1538658448 | Vanessa Lee Hernandez | Nurse Practitioner | 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 | 2018-05-07 |
| 1609377126 | Keisha Batson | Behavior Technician | 1669 E 48th St, Brooklyn, NY 11234 | 2018-02-21 |
| 1598280323 | Flex Rehab Physical Therapy PC | Physical Therapist | 1950 Coleman St, Brooklyn, NY 11234 | 2017-08-14 |
| Find all providers in zip 11234 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578968657 | Pulmonary and Sleep Medical PC | Internal Medicine | 2523 Avenue O, Brooklyn, NY 11210-5230 | 2014-10-30 |
| 1174865315 | Harish Patel Pulmonary & Sleep, Pllc | Internal Medicine | 132 Saint Nicholas Ave, Brooklyn, NY 11237-4034 | 2013-03-26 |
| 1356609366 | Jenna Marie Gibilaro | Internal Medicine | 953 49th St Ste 511, Brooklyn, NY 11219-2923 | 2012-04-26 |
| 1598041394 | Parkside Medical Services PC | Internal Medicine | 225 Parkside Ave Apt 1d, Brooklyn, NY 11226-1317 | 2011-10-25 |
| 1134410780 | Lutheran Medical Care Pllc | Internal Medicine | 8201 4th Ave Apt 1d, Brooklyn, NY 11209-4429 | 2011-04-29 |
| 1124333885 | Prime Medcare | Internal Medicine | 295 Ralph Ave, Brooklyn, NY 11233-2206 | 2010-08-18 |
| 1730327016 | Barclays Medical PC | Internal Medicine | 37 5th Avenue, Brooklyn, NY 11217 | 2009-01-26 |
| 1851571988 | Erum Zahid | Internal Medicine | 1 Brookdale Plz Ste 107, Brooklyn, NY 11212-3139 | 2007-11-06 |
| 1790809564 | Stanley Sherbell | Internal Medicine | Ny Methodist Hospital Medical Affairs Office, 506 Sixth Street, Brooklyn, NY 11215 | 2007-03-19 |
| 1265560072 | Chitoor Govindaraj | Internal Medicine | 8714 5th Ave, Brooklyn, NY 11209-5204 | 2007-03-01 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.