DMITRIY YUSUPOV

LONG ISLAND CITY, NY
NPI1144413741
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  012020)
Enumeration Date2007-08-27
Last Update Date2013-08-07
Business Address
-- DMITRIY YUSUPOV
2510 30TH AVE MOUNT SINAI HOSPITAL OF QUEENS
LONG ISLAND CITY, NY 11102-2448
Phone number: 718-932-1000
Mailing Address
-- DMITRIY YUSUPOV
2510 30TH AVE
LONG ISLAND CITY, NY 11102-2448
Phone number: 718-932-1000
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