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1003911033
SVETLANA FUZAYLOVA
BAYSIDE, NY
NPI
1003911033
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Former Name
SVETLANA MAVASHEV
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 214465)
Enumeration Date
2006-09-14
Last Update Date
2009-07-15
Business Address
-- SVETLANA FUZAYLOVA MD
4402 FRANCIS LEWIS BLVD SUITE A
BAYSIDE, NY 11361-3041
Phone number: 718-631-0500
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Mailing Address
-- SVETLANA FUZAYLOVA MD
4402 FRANCIS LEWIS BLVD SUITE A
BAYSIDE, NY 11361-3041
Phone number: 718-631-0500
Copy
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