Individual provider · Type 1 NPI

Julia Yusupova

Medical Physician Assistant · Astoria, NY

NPI number 1770067043 Active

Practice location

2510 30th Ave
Astoria, NY 11102-2448

Mailing address

6350 Wetherole St Apt 2J
Rego Park, NY 11374-2918

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1770067043

Julia Yusupova's National Provider Identifier is 1770067043, issued on Sep 21, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Astoria, NY. The record was last updated on Sep 21, 2018.