YAN YUSUPOV

REGO PARK, NY
NPI1295977973
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  62031272)
Enumeration Date2009-03-27
Last Update Date2012-09-18
Business Address
-- YAN YUSUPOV P.T.
97-35 63 DRIVE
REGO PARK, NY 11374-2229
Phone number: 718-459-2771
Mailing Address
-- YAN YUSUPOV P.T.
9735 63RD DR
REGO PARK, NY 11374-2229
Phone number: