Yusupov, Pinkhoz

Yusupov, Pinkhoz is an sole proprietor health care provider with primary practice located at 11811 Queens Blvd , Forest Hills NY 11375-7202. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Yusupov, Pinkhoz can be contacted via phone (718) 793-2461.

Contact Information

Primary practice address
11811 Queens Blvd Forest Hills NY 11375-7202
Fax: (718) 793-2455
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 007169-1 New York

Profile Details

NPI number 1750362521
LBN Legal business name Yusupov, Pinkhoz
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2005
Last updated Apr 27th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750362521 NPPES
New York MEDICAID 02245238

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