Individual
MISS ANZHELA YUSUPOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4520 12TH AVE APT E4, BROOKLYN, NY 11219-2013
(347) 858-4808
Mailing address
4520 12TH AVE APT E4, BROOKLYN, NY 11219-2013
(347) 858-4808
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
678337-1
NY
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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