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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649114844

Serge Yaacoub, MD is a Student in an Organized Health Care Education/Training Program in Elmhurst, New York. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7901 Broadway
Elmhurst, NY 11373-1329
Phone: (844) 692-4692
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1649114844
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 17, 2026
Last updated in NPPESApril 17, 2026
Certification dateApril 16, 2026
Mailing address1250 9th St Nw Apt 509, Washington, DC 20001-5194

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