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Contact Information

STEVE YUSUPOV, DDS, MD
55 BRYANT AVE
ROSLYN, NY11576-1139
 Phone: 516-749-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for STEVE YUSUPOV · (Male)

NPI # 1982991485
Status Active
Credentials DDS, MD
Entity Individual
Enumeration date 07/05/2011
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 057086
  • NY License # 285541
Hospital affiliation(s)
  • STATEN ISLAND UNIVERSITY HOSPITAL - (Acute Care)
    475 SEAVIEW AVENUE
    STATEN ISLAND, NY 10305
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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