Individual
DR. MICHELLE SARAH YUSUPOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
1533 PITKIN AVE, BROOKLYN, NY 11212-4516
(516) 477-4771
Mailing address
67 MEADOW LN, ROSLYN HEIGHTS, NY 11577-2340
(516) 477-4771
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
000626
CT
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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