Individual provider · Type 1 NPI

Irina Yusupova

Specialist · Fresh Meadows, NY

NPI number 1649515636 Active

Practice location

17911 69th Ave
Fresh Meadows, NY 11365-3519

Call (718) 316-5676 Map

Mailing address

179-11 69th Ave
Fresh Meadows, NY 11365

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1649515636

Irina Yusupova's National Provider Identifier is 1649515636, issued on Dec 3, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fresh Meadows, NY. The record was last updated on Dec 3, 2012.