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

Individual provider Speech-Language Pathologist · NPI 1083966063

Rena Yosupova is a Speech-Language Pathologist in Forest Hills, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
Specialties on file
3
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Practice location Address checks out

102-35 64th Rd Apt #6B
Forest Hills, NY 11375
Phone: (718) 865-7170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 021819 (NY)
Speech-Language Pathologist Taxonomy 235Z00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083966063
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 15, 2012
Last updated in NPPESSeptember 24, 2020
Certification dateSeptember 24, 2020

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