Individual
MARGARITA YUSUPOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10254 63RD AVE, FOREST HILLS, NY 11375-1046
(917) 459-2868
Mailing address
10254 63RD AVE, FOREST HILLS, NY 11375-1046
(917) 459-2868
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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