Individual
MRS. OLGA YUSUPOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15056 76TH RD, FLUSHING, NY 11367-3141
(917) 530-4886
Mailing address
15056 76TH RD, FLUSHING, NY 11367-3141
(917) 530-4886
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/08/2021
Last updated
08/08/2021
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