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
Fax: (347) 561-9513
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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