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1104100866
DANNY FUZAYLOV
BROOKLYN, NY
NPI
1104100866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 014110)
Enumeration Date
2011-09-29
Last Update Date
2011-09-29
Business Address
Mr. DANNY FUZAYLOV
374 STOCKHOLM ST C/O FACULTY PRACTICE MANAGEMENT
BROOKLYN, NY 11237-4006
Phone number: 718-963-6551
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Mailing Address
Mr. DANNY FUZAYLOV
374 STOCKHOLM ST C/O FACULTY PRACTICE MANAGEMENT
BROOKLYN, NY 11237-4006
Phone number: 718-963-6551
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