Elizabeth Yusupov


Address: 6240 Forest Ave, Ridgewood, NY 11385-1929

Elizabeth Yusupov (NPI# 1437502911, PAC ID# 8123307626) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.

Physician Overview

Nation Provider ID (NPI) 1437502911
PAC ID by PECOS 8123307626
Professional Enrollment ID I20161123001569
Full Name Elizabeth Yusupov
Address 6240 Forest Ave
Ridgewood
NY 11385-1929
Gender F
Medical School STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduation Year 2016
Primary Specialty OPTOMETRY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330204 BELLEVUE HOSPITAL CENTER

Other Locations

Address Phone Organization
6240 Forest Ave, Ridgewood, NY 11385-1929

Organization Information

Office Location

Street Address 6240 FOREST AVE
City RIDGEWOOD
State NY
Zip 11385-1929

Physicians in the same zip code

Name Specialty Organization Address
Rajendra K Modi Ophthalmology Raj Modi M.d. P.c 5544 Metropolitan Ave, Ridgewood, NY 11385-1221
Rekha Bhandari Internal Medicine Glenridge Medical Associates PC 385 Seneca Ave, Ridgewood, NY 11385-1340
Deepak K Setia Internal Medicine Glenridge Medical Associates PC 385 Seneca Ave, Ridgewood, NY 11385-1340
Narinder M Kukar Internal Medicine 385 Seneca Ave, Fl 2, Ridgewood, NY 11385-1340
Denis Blumberg Clinical Social Worker 5619 Metropolitan Ave, Ridgewood, NY 11385-1958
Jed Y Jabiguero Physical Therapy Mk Healthcare Medical PC 5629 Metropolitan Ave, Ridgewood, NY 11385-1975
Mitchell L Kaphan Orthopedic Surgery Ny Empire Medical PC 5629 Metropolitan Ave, Ridgewood, NY 11385-1975
Kanika Kakkar Physical Therapy Ny Empire Medical PC 5629 Metropolitan Ave, Ridgewood, NY 11385-1975
Elizabeth Franqui Clinical Social Worker 666 Onderdonk Ave, Ridgewood, NY 11385-2207
David Aronov Occupational Therapy Garas Physical Therapy PC 1877 Grove St, Fl 1, Ridgewood, NY 11385-2245
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Competitor

Search similar physicians

City RIDGEWOOD
Zip Code 11385
Specialty OPTOMETRY
City + Specialty RIDGEWOOD + OPTOMETRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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