Yushuvayeva, Antonina

Yushuvayeva, Antonina is an sole proprietor health care provider with primary practice located at 7150 160Th St # 1F , Fresh Meadows NY 11365-4126. She recently has 2 registered licenses in different health care specialties including Agencies / Early Intervention Provider Agency, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Yushuvayeva, Antonina can be contacted via phone (646) 732-8319.

Contact Information

Primary practice address
7150 160Th St # 1F Fresh Meadows NY 11365-4126
Phone: (646) 732-8319
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X New York
Other Service Providers / Specialist 174400000X New York

Profile Details

NPI number 1891058657
LBN Legal business name Yushuvayeva, Antonina
Credentials MSED
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2012
Last updated Nov 6th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891058657 NPPES
New York Other 1891058657 SPECIAL INSTRUCTOR TEACHER

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