Fuzaylov, Oleg

Fuzaylov, Oleg is an individual health care provider with primary practice located at 9701 66Th Ave , Rego Park NY 11374-4245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Fuzaylov, Oleg 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 220254 New York

Profile Details

NPI number 1912082504
LBN Legal business name Fuzaylov, Oleg
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Oct 15th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912082504 NPPES
New York MEDICAID 02150154

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