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Individual
YAN YUSUPOV
Active
Individual
YAN YUSUPOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62031272
NY
Other
Enumeration date
03/27/2009
Last updated
09/18/2012
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