ELANA YUSUPOVA

JAMAICA, NY
NPI1396061032
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  013981)
Enumeration Date2010-04-19
Last Update Date2010-04-19
Business Address
-- ELANA YUSUPOVA P.A.
8311 139TH ST APT 1H
JAMAICA, NY 11435-1602
Phone number: 917-209-5745
Mailing Address
-- ELANA YUSUPOVA P.A.
8311 139TH ST APT 1H
JAMAICA, NY 11435-1602
Phone number: 917-209-5745
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