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1235379827
IMANUEL FUZAILOV
BRONX, NY
NPI
1235379827
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 031215)
Enumeration Date
2009-02-23
Last Update Date
2017-01-17
Business Address
-- IMANUEL FUZAILOV PT
721 MELROSE AVE
BRONX, NY 10455-1121
Phone number: 718-554-0064
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Mailing Address
-- IMANUEL FUZAILOV PT
721 MELROSE AVE
BRONX, NY 10455-1121
Phone number: 718-554-0064
Copy
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