Individual
EMANUEL YUSHVAYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2594
(718) 960-9000
Mailing address
16819 HILLSIDE AVE, JAMAICA, NY 11432-4340
(718) 206-4887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
064273
NY
Other
Enumeration date
04/13/2023
Last updated
05/05/2025
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