Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lilia Yakutelov, PA

Individual provider Medical Physician Assistant · NPI 1144493578

Lilia Yakutelov, PA is a Medical Physician Assistant in New Hyde Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

410 Lakeville Rd
New Hyde Park, NY 11042-1101
Phone: (718) 470-8784
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 012487 (NY)
Pharmacist Taxonomy 183500000X · Licence 059737 (NY)

Record details

NPI number1144493578
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedApril 7, 2008
Last updated in NPPESOctober 6, 2014

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