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IRINA YUSUPOVA
NPI 1649515636
Specialist in Fresh Meadows, NY

Active since December 03, 2012
17911 69TH AVE, FRESH MEADOWS, NY 11365(718) 316-5676 Get Directions Write a Review

NPPES record last updated: December 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Irina Yusupova NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IRINA YUSUPOVA (NPI 1649515636) is an individual specialist in Fresh Meadows, New York and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1649515636
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameIRINA YUSUPOVA
Location Address17911 69TH AVEFresh Meadows, NY 11365-3519
Mailing Address179-11 69th AveFresh Meadows, NY 11365
Phone(718) 316-5676
Sole ProprietorNo
Enumeration DateDecember 3, 2012
✔ NPI 1649515636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
17911 69TH AVE, Fresh Meadows, NY 11365
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Irina Yusupova's NPI number?

The NPI number for Irina Yusupova is 1649515636. It was assigned to this individual provider in the NPPES registry on December 3, 2012.

Where is Irina Yusupova located?

Irina Yusupova practices at 17911 69th Ave, Fresh Meadows, NY 11365. The listed phone number is (718) 316-5676.

What is Irina Yusupova's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Irina Yusupova was last updated on December 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.