Yusupov, Artem
Yusupov, Artem is an sole proprietor health care provider with primary practice located at 10825 72Nd Ave Ste 1A, Forest Hills NY 11375-7831. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Yusupov, Artem can be contacted via phone (347) 561-9535.Contact Information
Primary practice address
10825 72Nd Ave Ste 1A
Forest Hills NY 11375-7831
Phone: (347) 561-9535
Fax: (347) 561-9513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 00255881 | New York |
Profile Details
| NPI number | 1053765388 |
|---|---|
| LBN Legal business name | Yusupov, Artem |
| Credentials | AUD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 23rd, 2016 |
| Last updated | Aug 2nd, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053765388 | NPPES |
| New York | Other | A400146814 | GROUP MEDICARE PTAN |
| New York | MEDICAID | 04407801 | GROUP MEDICARE PTAN |
| New York | Other | 1134597701 | GROUP MEDICARE PTAN |
| New York | Other | 002588-1 | GROUP MEDICARE PTAN |
| New York | Other | A100146813 | GROUP MEDICARE PTAN |
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