Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Marina Yusupov

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649633090

Dr. Marina Yusupov is a Student in an Organized Health Care Education/Training Program in Bronx, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
Specialties on file
2

Practice location Address checks out

5750 Mosholu Ave
Bronx, NY 10471-2206
Phone: (718) 363-6771
Fax: (718) 363-6982
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 313199 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1649633090
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 2, 2016
Last updated in NPPESJune 2, 2023
Certification dateJune 2, 2023

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