Michael Yusupov, DDS is a student in an organized health care education training program in Jamaica, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Michael Yusupov, DDS NPI is 1255915740. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
8900 VAN WYCK EXPY
JAMAICA, NY
ZIP 11418-832
Phone: (917) 740-6862
The enumeration date for this NPI number is 5/10/2021 and was last updated on 5/10/2021.