Yusupova, Dina
Yusupova, Dina is an individual health care provider with primary practice located at 100 Hospital Rd Ste 201 , East Patchogue NY 11772-8814. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Yusupova, Dina can be contacted via phone (631) 475-6900.Contact Information
Primary practice address
100 Hospital Rd Ste 201
East Patchogue NY 11772-8814
Phone: (631) 475-6900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA11807000 | New Jersey |
Profile Details
| NPI number | 1902435415 |
|---|---|
| LBN Legal business name | Yusupova, Dina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2020 |
| Last updated | May 16th, 2024 - about 2 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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