Individual
ELINA YUSHUVAYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22215 NORTHERN BLVD LBBY A, BAYSIDE, NY 11361-3603
(718) 215-0020
(616) 226-4785
Mailing address
22215 NORTHERN BLVD LBBY A, BAYSIDE, NY 11361-3603
(718) 215-0020
(616) 226-4785
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
288432
NY
Other
Enumeration date
07/07/2011
Last updated
11/12/2020
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