MARINA YUSUPOV

FOREST HILLS, NY
NPI1851729735
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  016801)
Enumeration Date2013-10-31
Last Update Date2013-10-31
Business Address
-- MARINA YUSUPOV PA-C
11239 68TH AVE
FOREST HILLS, NY 11375-2937
Phone number: 917-442-2439
Mailing Address
-- MARINA YUSUPOV PA-C
11239 68TH AVE
FOREST HILLS, NY 11375-2937
Phone number: 917-442-2439
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