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1144413741
DMITRIY YUSUPOV
LONG ISLAND CITY, NY
NPI
1144413741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 012020)
Enumeration Date
2007-08-27
Last Update Date
2013-08-07
Business Address
-- DMITRIY YUSUPOV
2510 30TH AVE MOUNT SINAI HOSPITAL OF QUEENS
LONG ISLAND CITY, NY 11102-2448
Phone number: 718-932-1000
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Mailing Address
-- DMITRIY YUSUPOV
2510 30TH AVE
LONG ISLAND CITY, NY 11102-2448
Phone number: 718-932-1000
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