MARINA YUSUPOVA


Address: 3141 45th St, Long Island City, NY 11103-1621
Phone: 7187211500

MARINA YUSUPOVA (NPI# 1720203722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720203722
Entity Type Individual
Full Name MARINA YUSUPOVA
Credential PA
Practice Address 3141 45th St
Long Island City
NY 11103-1621
Practice Telephone 7187211500
Practice Fax Number 7187771623
Mailing Telephone 7187211500
Mailing Fax Number 7187771623
Enumeration Date 2007-04-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 007581 NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers MARINA YUSUPOVA

NPI Name Taxonomy Address Enumeration
1568882306 Marina Yusupova Nurse Practitioner 100 Port Washington Blvd, Roslyn, NY 11576-1347 2014-04-20

Office Location

Street Address 3141 45TH ST
City LONG ISLAND CITY
State NY
Zip Code 11103-1621

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538164280 Adina Pinkas Internal Medicine 3141 45th St, Long Island City, NY 11103-1621 2005-06-18
1780007211 Shahzad Hameed Malik Physician Assistant 3141 45th St, Long Island City, NY 11103-1621 2014-02-04
1477893584 Zasia A Chowdhury Physician Assistant 3141 45th St, Long Island City, NY 11103-1621 2013-02-26
1437477312 Mt Sinai School of Medicine of New York University Dermatology 3141 45th St, Long Island City, NY 11103-1621 2010-05-17
1174726095 Elina Gavrilova Physician Assistant 3141 45th St, Long Island City, NY 11103-1621 2007-06-07
1871682278 Oksana Khaimova Physician Assistant 3141 45th St, Long Island City, NY 11103-1621 2006-10-12
1336238807 Carlos Castro Physician Assistant 3141 45th St, Long Island City, NY 11103-1621 2006-10-12
1124055975 Bhupendra Rambhai Patel Internal Medicine 3141 45th St, Long Island City, NY 11103-1621 2006-06-27
1255367355 William James Schwartz Internal Medicine 3141 45th St, Long Island City, NY 11103-1621 2006-06-23
1356382246 Farah Elias Atallah-lajam Internal Medicine 3141 45th St, Long Island City, NY 11103-1621 2006-06-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285248641 Heather B Keltai Counselor 2585 48th St, Astoria, NY 11103 2020-09-03
1174132641 Mohammed E Yousef Physical Therapy Assistant 37 09 Broadway,astoria., Apt 3a, New York, NY 11103 2020-07-30
1588177448 Jasna Koltovska Counselor 3063 38th St Ste B1, Astoria, NY 11103 2017-11-14
1205363884 Emanuel Papadopoulos Dentist 3044 36th St, Astoria, NY 11103 2017-05-15
1174986236 Joyce Lynn Karpinski Occupational Therapist 25-95 45th St, Apt I, Astoria, NY 11103 2016-04-05
1306218847 Leeat Perelmutter Social Worker 2847 34 Street, Apt 17, Astoria, NY 11103 2015-10-23
1740658723 Cori Shahon Specialist 2569 49th Street, Astoria, NY 11103 2015-09-09
1245617539 Alisa Neziraj Registered Nurse 3005 42nd Street, Astoria, NY 11103 2015-05-06
1912399189 Brad Koegel Case Manager/Care Coordinator 30-46 35th Street, Astoria, NY 11103 2015-02-25
1477967826 Wad Kadi Pharmacist 32-87 Steinway St, Long Island City, NY 11103 2014-06-13
Find all providers in zip 11103

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326651241 Sara Ruggieri Physician Assistant 4220 27th St Apt 1004, Long Island City, NY 11101-8627 2020-08-29
1780186791 Yael Pinn Physician Assistant 2701 Queens Plz N, Long Island City, NY 11101 2018-03-06
1114209954 Kimberly Eva Sewnarine Physician Assistant 3451 9th St, 1b, Long Island City, NY 11106-5161 2011-09-19
1831320902 Elissa Presner Physician Assistant 25-10 30th Avenue, Mount Sinai of Queens, Dept of Emergency Medicine, Long Island City, NY 11102 2009-08-06
1093863300 Melissa Ann Wallentin Physician Assistant 41-40 27th Street, C/o The Floating Hospital, Long Island City, NY 11101 2007-01-05
1952408031 Linda Marie Dalton Physician Assistant 31-41 45th Street, Long Island City, NY 11103 2006-09-20
1750328894 Jimmy Yuen Hing Lee Physician Assistant 25-10 30th Ave, Mount Sinai Hospital of Queens, Long Island City, NY 11102-2495 2006-05-31
1316553589 Kailin Sofia Cheng Physician Assistant 4604 31st Ave, Long Island City, NY 11103-1842 2020-09-22
1154954519 Megan Li Physician Assistant 2701 Queens Plz N, Long Island City, NY 11101-4020 2020-02-13
1427614924 Agnieszka Michalik Physician Assistant 2701 Queens Plz N Fl 10, Long Island City, NY 11101-4022 2019-05-10
Find all providers in LONG ISLAND CITY

Competitor

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City LONG ISLAND CITY
Zip Code 11103

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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