Yakov Fuzaylov DDS

NPI 1043524200 - Dentist - 1223G0001X

NPI Details
NPI 1043524200
Gender Male
Enumeration Date 07/29/2010
Last Updated 07/29/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
630 OLD COUNTRY RD UNIT 1D
GARDEN CITY NY, 11530-3420, US
Phone (516) 294-1919
Fax
Business Location
9876 QUEENS BLVD APT 3H
REGO PARK NY, 11374-4335, US
Phone (917) 202-0190
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State New York
License Number 50055027
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According to our database, Dr. Yakov Fuzaylov DDS NPI is 1043524200, taxonomy code is 1223G0001X and license number is 50055027, license state is located at New York. Yakov Fuzaylov DDS physically located at 630 Old Country Rd Unit 1d, Garden City NY, 11530-3420. NPI Number Yakov Fuzaylov DDS has the Individual type.

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1043524200 NPI number is provided on an as is basis without warranty of any kind. 1043524200 is maintained by the National Plan & Provider Enumeration System. The contents of Yakov Fuzaylov DDS are for informational purposes only.