SearchNew York363A00000X

Marina Yusupov, PA-C

NPI 1851729735 · on the registry since 2013 · sole proprietor

Practice

Address
11239 68th Ave
Forest Hills, NY 11375
Phone
(917) 442-2439

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-10-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York