MARINA YUSUPOV


Address: 11239 68th Ave, Forest Hills, NY 11375-2937
Phone: 9174422439

MARINA YUSUPOV (NPI# 1851729735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851729735
Entity Type Individual
Full Name MARINA YUSUPOV
Credential PA-C
Practice Address 11239 68th Ave
Forest Hills
NY 11375-2937
Practice Telephone 9174422439
Mailing Telephone 9174422439
Enumeration Date 2013-10-31
Last Update Date 2013-10-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 016801 NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers MARINA YUSUPOV

NPI Name Taxonomy Address Enumeration
1649633090 Marina Yusupov Student in an Organized Health Care Education/Training Program 585 Schenectady Ave, K4, Brooklyn, NY 11203-1822 2016-04-02

Office Location

Street Address 11239 68TH AVE
City FOREST HILLS
State NY
Zip Code 11375-2937

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932709623 Nicole Ficano Counselor 102-02 66th Road, Forest Hills, NY 11375 2020-10-30
1396342473 One Stop Senior Day Care Inc Clinic/Center 108-10 72nd Ave 2fl, Forest Hills, NY 11375 2020-10-02
1063029023 Prohealth Care Associates, LLP Occupational Therapist 118-35 Queens Boulevard, Suite 1550, Forest Hills, NY 11375 2020-09-24
1659909398 Lindsay Stemke Student in an Organized Health Care Education/Training Program 102-01 66th Rd., Forest Hills, NY 11375 2020-03-30
1609409887 Yesodot, Inc Clinic/Center 110-06 69th Ave, Forest Hills, NY 11375 2020-02-17
1831744945 Darius Douglas Counselor Bleuler Psychotherapy Center 104-70 Queens Blvd, Suite 500, Forest Hills, NY 11375 2019-08-06
1598329914 Jane Rochelle Pahang Physical Therapist 116-21 Queens Blvd, Forest Hills, NY 11375 2019-05-01
1558828939 Natalie Koptyev Pharmacist 108-14 68th Drive, Forest Hills, NY 11375 2019-02-21
1043782014 Magdalena Lekic Salameh Behavioral Analyst 67-29 Kessel Street, Forest Hills, NY 11375 2018-12-31
1861960031 Bertine Sylvie Alectine Specialist 108-18 Queens Blvd, 5th Floor, Suite 4a, Forest Hills, NY 11375 2018-11-06
Find all providers in zip 11375

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669006508 Leah Nicole De Jesus Physician Assistant 9106 68th Ave, Forest Hills, NY 11375-5724 2020-03-01
1114577004 Jing Lin Physician Assistant 7011 Harrow St, Forest Hills, NY 11375-5153 2019-09-13
1811431737 Regina Ozimek Physician Assistant 10304 Metropolitan Ave, Forest Hills, NY 11375-6734 2016-12-12
1902295470 Roza Murdakhayeva Physician Assistant 10220 67th Dr Apt 201, Forest Hills, NY 11375-2807 2015-01-21
1639591522 David Lomasney Physician Assistant 11007 73rd Rd, Apt 4f, Forest Hills, NY 11375-6301 2014-01-10
1871841874 Kristine Maria Mazzo Physician Assistant 39 Winter St, Forest Hills, NY 11375-6037 2012-08-22
1841561248 Milana Badalov Physician Assistant 6515 Yellowstone Blvd Apt 2g, Forest Hills, NY 11375-1746 2012-01-18
1003062829 Edwish Marie Adrien Physician Assistant 10229 Queens Blvd, Attn: Credentialing, Forest Hills, NY 11375-3258 2008-08-12
1205003399 Navpreet Shah Physician Assistant 11025 63rd Rd, Forest Hills, NY 11375-1426 2008-05-08
1164480844 Zina Goldvekht Physician Assistant 6405 Yellowstone Blvd, Cfu 101, Forest Hills, NY 11375-1530 2006-05-03
Find all providers in FOREST HILLS

Competitor

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City FOREST HILLS
Zip Code 11375

Improve Information

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Dataset Information

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.

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