Individual provider · Type 1 NPI

Dmitriy Yusupov

Medical Physician Assistant · Long Island City, NY

NPI number 1144413741 Active

Practice location

2510 30th Ave, Mount Sinai Hospital Of Queens
Long Island City, NY 11102-2448

Call (718) 932-1000 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X012020 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1144413741

Dmitriy Yusupov's National Provider Identifier is 1144413741, issued on Aug 27, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Long Island City, NY. The record was last updated on Aug 7, 2013.