Whalio Doctors

NPI 1750362521

Pinkhoz Yusupov, OPTICIAN

Practitioner Optician Forest Hills, NY

Practice location

Address
11811 Queens Blvd, Forest Hills, NY 11375-7202
Phone
(718) 793-2461
Fax
(718) 793-2455

Registered specialties

Optician Primary
Eye and Vision Services Providers Taxonomy 156FX1800X Licence 007169-1 (NY)

Registry record

NPI
1750362521
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Nov 2005
Record last updated
27 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.