Marina Yusupova in Long Island City - Physician Assistant
Marina Yusupova - NPI 1720203722
Marina Yusupova is a Physician Assistant in Long Island City, New York. Marina Yusupova practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Marina Yusupova is 1720203722. The last update date is 2007-07-08.
Marina Yusupova's current location address is 3141 45th St, Long Island City, New York. You can contact this provider via phone number 7187211500 and fax number 7187771623. The mailing address for Marina Yusupova is 3141 45th St, Long Island City, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marina Yusupova |
|---|---|
| Address | 3141 45th St, Long Island City, New York |
| Phone Number | 7187211500 |
| Fax Number | 7187771623 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1720203722 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3141 45th St |
|---|---|
| City | Long Island City |
| State | New York (NY) |
| Post Code | 111031621 |
| Phone Number | 7187211500 |
| Fax Number | 7187771623 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 7581 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identification code assigned to Marina Yusupova by the Centers for Medicare & Medicaid Services?
The Marina Yusupova has been issued the NPI (National Provider Identifier) 1720203722. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Marina Yusupova's physical address?
The Marina Yusupova is physically located at 3141 45Th St, in the city of Long Island City, NY, with the postal code 111031621.
What is the Marina Yusupova's specialty and taxonomy code?
The Marina Yusupova's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Marina Yusupova receive its 1720203722 assignment from the Centers for Medicare & Medicaid Services?
The Marina Yusupova was assigned its 1720203722 by the Centers for Medicare & Medicaid Services on 2007-04-16.
When was the information regarding Marina Yusupova most recently updated?
The details pertaining to the Marina Yusupova, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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