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Michail Fazylov, DO
Student in an Organized Health Care Education/Training Program in Jamaica, New York
NPI 1750133666

Michail Fazylov is a Student in an Organized Health Care Education/Training Program based in Jamaica, NY. Michail Fazylov practices in Jamaica, NY and has the professional credentials of DO. The NPI Number for Michail Fazylov is 1750133666 and holds a License No. (New York).

The current practice location address for Michail Fazylov is 8900 Van Wyck Expy, Jamaica, NY and can be reached out via phone at 718-206-7708.

Location: 8900 Van Wyck Expy, Jamaica, NY, 11418-2897
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750133666
Provider Name
Michail Fazylov
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
8900 Van Wyck Expy, Jamaica, NY, 11418-2897
Phone Number
718-206-7708
Fax Number
Provider Enumeration Date
04/03/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
8900 Van Wyck Expy
City
Jamaica
State
New York
Zip
11418-2897
Phone Number
718-206-7708
Fax Number
person
Provider Business Mailing Address Details
Address
8900 Van Wyck Expy
City
Jamaica
State
New York
Zip
11418-2897
Phone Number
718-206-7708
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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