| Yan Yusupov, PT | |
|
97-35 63 Drive, Rego Park, NY 11374-2229 | |
| (718) 459-2771 | |
| Not Available |
| Full Name | Yan Yusupov |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 97-35 63 Drive, Rego Park, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295977973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 62031272 (New York) | Primary |
| Provider Name | Ahava Medical And Rehabilitation Center, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184878274 PECOS PAC ID: 1557416997 Enrollment ID: O20090908000443 |
| Provider Name | Elmont Rehab Pt Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417258088 PECOS PAC ID: 8123208865 Enrollment ID: O20110211000707 |
| Provider Name | Pro Form Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1740621697 PECOS PAC ID: 0648404137 Enrollment ID: O20131017000030 |
| Provider Name | Core Physical Therapy Services Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1184269755 PECOS PAC ID: 4486087442 Enrollment ID: O20191204002750 |
| Provider Name | Lebgutt Medical Of Brooklyn Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184070625 PECOS PAC ID: 7315358413 Enrollment ID: O20201120002012 |
| Mailing Address | Practice Location Address |
|---|---|
| Yan Yusupov, PT 9735 63rd Dr, Rego Park, NY 11374-2229 Ph: () - | Yan Yusupov, PT 97-35 63 Drive, Rego Park, NY 11374-2229 Ph: (718) 459-2771 |
Mr. Nino Pompeyo Rocco Altamirano Borja, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6241 Woodhaven Blvd, Rego Park, NY 11374 Phone: 929-607-3271 Fax: 929-607-3267 | |
Nypt Rehab Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6607 Alderton St, Rego Park, NY 11374 Phone: 718-275-7790 Fax: 718-358-3837 | |
Lichieh Pao, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6541 Wetherole St, Rego Park, NY 11374 Phone: 917-862-7787 | |
Mikaela Adriano Lagman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 98120 Queens Blvd Ste 1lm, Rego Park, NY 11374 Phone: 718-897-3333 Fax: 718-997-0342 | |
Ralph Arden Paul Fuster Murillo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6288 Austin St, Rego Park, NY 11374 Phone: 718-314-5849 | |
Rhyan Fermin Florendo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9748 64th Ave Fl 2, Rego Park, NY 11374 Phone: 510-367-7730 | |
Stephanie Patricia Siry, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6601 Burns St Apt 6y, Rego Park, NY 11374 Phone: 646-418-9513 |