MARINA YUSUPOVA

LONG ISLAND CITY, NY
NPI1720203722
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  007581)
Enumeration Date2007-04-16
Last Update Date2007-07-08
Business Address
-- MARINA YUSUPOVA PA
3141 45TH ST
LONG ISLAND CITY, NY 11103-1621
Phone number: 718-721-1500
Mailing Address
-- MARINA YUSUPOVA PA
3141 45TH ST
LONG ISLAND CITY, NY 11103-1621
Phone number: 718-721-1500
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