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1164007548
GEORGIY YUSUPOV
BROOKLYN, NY
NPI
1164007548
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Professional Name
GEORGIY YUSUPOV
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F347371-01)
Enumeration Date
2021-03-16
Last Update Date
2021-03-25
Business Address
Mr. GEORGIY YUSUPOV
3709 FLATLANDS AVE
BROOKLYN, NY 11234-3507
Phone number: 718-444-7766
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Mailing Address
Mr. GEORGIY YUSUPOV
14020 68TH DR
FLUSHING, NY 11367-1652
Phone number: 646-331-5198
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