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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. EMANUEL YUSUPOV, PA

Active

MR. EMANUEL YUSUPOV, PA is a Surgical Physician Assistant healthcare provider located in ELMHURST, New York. NPI 1629362439 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · ELMHURST, NY

Registration Details

NPI Number
1629362439
Provider Type
Individual
Gender
Male
NPI Issued
Jun 9, 2011 (15.207100209599 yrs)
Last Updated
Jun 9, 2011
License
014745 (NY)

Practice Information

Address
79-01 BROADWAY
ELMHURST, NY, 11373
Browse NY providers · Browse ZIP 11373
Phone
7183341921
Fax
7183345958
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in ELMHURST, NY

Name Credential NPI
MICHAEL C. FERREIRA P.A. 1972605848
MR. KING WA LEUNG PA 1891881181
MS. BELKYS GRULLON PA 1700952124
STEPHEN CHRISTOPHER TONNESEN P.A. 1154523322
MAGDALENA BALKIEWICZ PA 1114212453
PATRICK LEE PA 1467733386
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.