Individual
DANIEL YUSUPOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6910 136TH ST APT A, FLUSHING, NY 11367-1628
(929) 258-6269
Mailing address
6910 136TH ST APT A, FLUSHING, NY 11367-1628
(929) 258-6269
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
073152
NY
Other
Enumeration date
09/05/2025
Last updated
10/24/2025
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