MARINA YUSUPOVA

ROSLYN, NY
NPI1568882306
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NY  F338237-1)
Enumeration Date2014-04-20
Last Update Date2015-03-18
Business Address
-- MARINA YUSUPOVA
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576-1347
Phone number: 516-562-6000
Mailing Address
-- MARINA YUSUPOVA
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576-1347
Phone number: