Most Relevant Information
Provider Data
| NPI Number: | 1003554577 |
| Provider Name: | MEIR YOUSUPOV DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/24/2022 |
| Last Updated: | 05/24/2022 |
Provider Practice Location
8900 VAN WYCK EXPY
RICHMOND HILL
NY
114182897
Practice Location Phone/Fax
| Phone: | 7182066000 |
| Fax: |
Provider Mailing Location
8900 VAN WYCK EXPY
RICHMOND HILL
NY
114182897
Provider Mailing Phone/Fax
| Phone: | 7182066000 |
| Fax: |