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Diana Fuzailov, PA-C
Medical Physician Assistant in New Hyde Park, New York
NPI 1851794705

Diana Fuzailov is a Medical Physician Assistant based in Jamaica, NY and is specialized in Medical. Diana Fuzailov practices in New Hyde Park, NY and has the professional credentials of PA-C. The NPI Number for Diana Fuzailov is 1851794705 and holds a License No. 017849-1 (New York).

The current practice location address for Diana Fuzailov is 27005 76Th Ave, New Hyde Park, NY and can be reached out via phone at 516-470-7500.

Location: 27005 76Th Ave, New Hyde Park, NY, 11432-1822
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851794705
Provider Name
Diana Fuzailov
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
27005 76Th Ave, New Hyde Park, NY, 11432-1822
Phone Number
516-470-7500
Fax Number
Provider Enumeration Date
10/07/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
27005 76Th Ave
City
New Hyde Park
State
New York
Zip
11040-1402
Phone Number
516-470-7500
Fax Number
person
Provider Business Mailing Address Details
Address
27005 76Th Ave
City
New Hyde Park
State
New York
Zip
11040-1402
Phone Number
516-470-7500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
017849-1 (New York)
Definition
Definition to come...
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