Organization
YUSUPOV'S OFFER
Active
Organization
YUSUPOV'S OFFER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRIGORIY YUSUPOV (OWNER)
(718) 413-0413
Entity
Organization
Contact information
Practice address
8650 112TH ST, RICHMOND HILL, NY 11418-1635
(718) 413-0413
Mailing address
8650 112TH ST, RICHMOND HILL, NY 11418-1635
(718) 413-0413
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1371300
NY
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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