LEV YUSUPOV

MANHASSET, NY
NPI1174939557
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  50 057503)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: CT  11202)
Enumeration Date2014-07-07
Last Update Date2015-10-19
Business Address
-- LEV YUSUPOV DDS
1185 NORTHERN BLVD DENTAL CARE OF MANHASSET
MANHASSET, NY 11030-3017
Phone number: 516-441-5142
Mailing Address
-- LEV YUSUPOV DDS
1185 NORTHERN BLVD DENTAL CARE OF MANHASSET, P.C.
MANHASSET, NY 11030-3017
Phone number: 516-441-5142