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Yelena Yusupova
Optician in Cedarhurst, New York
NPI 1225741606

Yelena Yusupova is a Optician based in Cedarhurst, NY and is specialized in Optician. Yelena Yusupova practices in Cedarhurst, NY. The NPI Number for Yelena Yusupova is 1225741606 and holds a License No. 010097 (New York).

The current practice location address for Yelena Yusupova is 415 Central Ave Unit A, Cedarhurst, NY and can be reached out via phone at 516-303-2410.

Location: 415 Central Ave Unit A, Cedarhurst, NY, 11516-1930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225741606
Provider Name
Yelena Yusupova
Credential
Provider Entity Type
Individual
Gender
Female
Address
415 Central Ave Unit A, Cedarhurst, NY, 11516-1930
Phone Number
516-303-2410
Fax Number
Provider Enumeration Date
01/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
415 Central Ave Unit A
City
Cedarhurst
State
New York
Zip
11516-1930
Phone Number
516-303-2410
Fax Number
person
Provider Business Mailing Address Details
Address
415 Central Ave Unit A
City
Cedarhurst
State
New York
Zip
11516-1930
Phone Number
516-303-2410
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
010097 (New York)
Definition
Definition to come...
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