Individual
MR. ROBERT YUSUPOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
32-41 STEINWAY STREET, ASTORIA, NY 11103
(347) 808-9155
(347) 808-9156
Mailing address
32-41A STEINWAY STREET, ASTORIA, NY 11103
(347) 808-9155
(347) 808-9156
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007608
NY
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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