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Robert Yusupov

Technician/Technologist, Optician in Astoria, NY. Individual provider (NPI-1).

NPI number1366728396
StatusActive
Last updated in NPPESOct 21, 2011

Details

NPI
1366728396
Entity type
Individual (NPI-1)
Name
Mr. Robert Yusupov
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 21, 2011
Last updated
Oct 21, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician007608NYYes

Practice location

32-41 Steinway Street
Astoria, NY 11103

Phone 347-808-9155 · Fax 347-808-9156

Mailing address

32-41a Steinway Street
Astoria, NY 11103

Phone 347-808-9155 · Fax 347-808-9156

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Other Optician providers in Astoria, NY

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