Yan Yusupov P.T.

NPI 1295977973 - Physical Therapist - 225100000X

NPI Details
NPI 1295977973
Gender Male
Enumeration Date 03/27/2009
Last Updated 09/18/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
97-35 63 DRIVE
REGO PARK NY, 11374-2229, US
Phone (718) 459-2771
Business Location
9735 63RD DR
REGO PARK NY, 11374-2229, US
Taxonomy Code 225100000X
License State New York
License Number 62031272
Remove 1295977973 NPI Number

According to our database, Yan Yusupov P.T. NPI is 1295977973, taxonomy code is 225100000X and license number is 62031272, license state is located at New York. Yan Yusupov P.T. physically located at 97-35 63 Drive, Rego Park NY, 11374-2229. NPI Number Yan Yusupov P.T. has the Individual type.

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1295977973 NPI number is provided on an as is basis without warranty of any kind. 1295977973 is maintained by the National Plan & Provider Enumeration System. The contents of Yan Yusupov P.T. are for informational purposes only.