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Mr. Pinkhoz Yusupov, OPTICIAN
Optician in Forest Hills, New York
NPI 1750362521

Pinkhoz Yusupov is a Optician based in Forest Hills, NY and is specialized in Optician. Pinkhoz Yusupov practices in Forest Hills, NY and has the professional credentials of OPTICIAN. The NPI Number for Pinkhoz Yusupov is 1750362521 and holds a License No. 007169-1 (New York).

The current practice location address for Pinkhoz Yusupov is 11811 Queens Blvd, Forest Hills, NY and can be reached out via phone at 718-793-2461 and via fax at 718-793-2455.

Location: 11811 Queens Blvd, Forest Hills, NY, 11375-7202
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Provider Profile Details
NPI Number
1750362521
Provider Name
Pinkhoz Yusupov
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
11811 Queens Blvd, Forest Hills, NY, 11375-7202
Phone Number
718-793-2461
Fax Number
718-793-2455
Provider Enumeration Date
11/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02245238 05 NY
institution
Provider Business Practice Location Address Details
Address
11811 Queens Blvd
City
State
Zip
11375-7202
Phone Number
718-793-2461
Fax Number
718-793-2455
person
Provider Business Mailing Address Details
Address
11811 Queens Blvd
City
State
Zip
11375-7202
Phone Number
718-793-2461
Fax Number
718-793-2455
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
007169-1 (New York)
Definition
Definition to come...
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