Fuzaylov, Dmitriy

Fuzaylov, Dmitriy is an sole proprietor health care provider with primary practice located at 9701 66Th Ave , Rego Park NY 11374-4245. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Fuzaylov, Dmitriy can be contacted via phone (718) 275-5200.

Contact Information

Primary practice address
9701 66Th Ave Rego Park NY 11374-4245
Phone: (718) 275-5200
Fax: (718) 275-6864
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 241269 New York
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD436995 Pennsylvania
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 241269 New York

Profile Details

NPI number 1093974040
LBN Legal business name Fuzaylov, Dmitriy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2008
Last updated Oct 17th, 2014 - about 10 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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