EMANUEL YUSUPOV

ELMHURST, NY
NPI1629362439
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  014745)
Enumeration Date2011-06-09
Last Update Date2011-06-09
Business Address
Mr. EMANUEL YUSUPOV PA
79-01 BROADWAY
ELMHURST, NY 11373
Phone number: 718-334-1921
Mailing Address
Mr. EMANUEL YUSUPOV PA
79-01 BROADWAY
ELMHURST, NY 11373
Phone number: 718-334-1921
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