Individual
JOSHUA YUSHUVAYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 NORTHERN BLVD, GREAT NECK, NY 11021-4303
(516) 478-4737
(516) 262-4943
Mailing address
110 NORTHERN BLVD, GREAT NECK, NY 11021-4303
(516) 478-4737
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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