Individual
ALINA YUSUPOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9932 64TH RD, REGO PARK, NY 11374-2646
(646) 245-1734
Mailing address
9932 64TH RD, REGO PARK, NY 11374-2646
(646) 245-1734
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
019056
NY
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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