Individual provider · Type 1 NPI

Michael Yusupov, DDS

Student in an Organized Health Care Education/Training Program · Jamaica, NY

NPI number 1255915740 Active

Practice location

8900 Van Wyck Expy
Jamaica, NY 11418-2832

Call (917) 740-6862 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255915740

Michael Yusupov, DDS's National Provider Identifier is 1255915740, issued on May 10, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jamaica, NY. The record was last updated on May 10, 2021.