YURIY YUSUPOV (NPI# 1760637672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760637672 |
| Entity Type | Individual |
| Full Name | YURIY YUSUPOV |
| Credential | D.D.S., M.D. |
| Practice Address |
7901 4th Ave Ste A3 Brooklyn NY 11209-3970 |
| Practice Telephone | 7187450400 |
| Mailing Telephone | 7187450400 |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2011-10-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
052623 | NY | Dental Providers |
| Street Address |
7901 4TH AVE STE A3 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11209-3970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649897737 | Antar, LLC | Optometrist | 9714 Fourth Ave, Store Front, Brooklyn, NY 11209 | 2020-07-06 |
| 1184250540 | Daily Strength Physical Therapy Pllc | Physical Therapist | 343 Marshall Drive N #2a, Brooklyn, NY 11209 | 2020-03-18 |
| 1306492731 | Penny Planzos | Dentist | 7815 4th Avenue, Brooklyn, NY 11209 | 2019-08-12 |
| 1932660917 | Kristen Elizabeth Dalelio | Social Worker | 9401 4th Ave Fl 1, Brooklyn, NY 11209 | 2019-03-30 |
| 1346706413 | Yelena Lobova | Specialist | 7100 Ridge Blvd Apt 3c, Brooklyn, NY 11209 | 2019-02-13 |
| 1841781648 | Ian Rugg Psychology Pllc | Psychologist | 545 73rd Street, Ground Floor, Brooklyn, NY 11209 | 2018-05-29 |
| 1194227520 | Constantinos Kokkinos | Social Worker | 37 72nd St Apt 1, Brooklyn, NY 11209 | 2018-03-01 |
| 1760905186 | Ankita Luthra | Student in an Organized Health Care Education/Training Program | 470 84th Street Brooklyn, New York, NY 11209 | 2017-07-18 |
| 1700308186 | Griselda Marleny Rodriguez Jorge | Social Worker | 1 74th Street, Apt 4m, Brooklyn, NY 11209 | 2017-07-07 |
| 1932629854 | Jonathan Dennehy | Social Worker | 307 West 38th Street, Suite 817, New York, NY 11209 | 2017-06-21 |
| Find all providers in zip 11209 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871006064 | Ny Oral and Maxillofacial Surgeon, PC | Dentist | 2844 Ocean Pkwy Ste B2, Brooklyn, NY 11235-7904 | 2017-11-09 |
| 1194149674 | Georgetowndentalspa LLC | Dentist | 2167 Ralph Ave, Brooklyn, NY 11234 | 2014-02-05 |
| 1831539832 | Barrington Oneal Anderson | Dentist | 3304 Glenwood, Prism Dental PC, Brooklyn, NY 11210 | 2013-07-05 |
| 1043568751 | Ghazal Mahjoubi | Dentist | 120 Nassau Ave Brooklyn Ny, Brooklyn, NY 11222 | 2012-08-28 |
| 1740572841 | Oluremi Ogunsanya | Dentist | 1610 E 19th St Ste 1, Brooklyn, NY 11229-1375 | 2011-05-06 |
| 1740418961 | Garry Shnayder | Dentist | 1512 Avenue Z, Brooklyn, NY 11235-3808 | 2009-06-25 |
| 1790926244 | James C Kang | Dentist | 155 Ashland Pl, Brooklyn, NY 11201-5401 | 2009-03-12 |
| 1902053804 | Mikhail Ruvinsky | Dentist | 2973 Ocean Ave, Brooklyn, NY 11235-3201 | 2008-08-21 |
| 1265688691 | Igor Tarlo | Dentist | 1951 E 26th St, Brooklyn, NY 11229-2439 | 2008-08-18 |
| 1750580874 | Avishai Karlovsky | Dentist | 2374 Ralph Ave, Brooklyn, NY 11234 | 2007-07-18 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.