Yakov Fuzaylov Dental Pc

LBN: Yakov Fuzaylov Dental Pc
Yakov Fuzaylov Dental Pc is an health care organization with primary practice located at 7835 B Springfield Blvd , Queens Village NY 11364. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Yakov Fuzaylov Dental Pc can be contacted via phone (718) 470-2320, or through Fuzaylov, Yakov via phone (718) 470-2320.

Contact Information

Primary practice address
7835 B Springfield Blvd Queens Village NY 11364
Phone: (718) 470-2320
Fax: (718) 470-2321
Website:
Map and Directions
Authorized official contact:
Name: Fuzaylov, Yakov
Phone: (718) 470-2320

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1932866514
LBN Legal business name Yakov Fuzaylov Dental Pc
DBA Doing business as
Authorized official Fuzaylov, Yakov
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2021
Last updated Nov 18th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932866514 NPPES
New York MEDICAID 03271583

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