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1467183749
ROMAN FAYZIBAYEV
FLUSHING, NY
NPI
1467183749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F349255-01)
Enumeration Date
2022-06-18
Last Update Date
2022-06-18
Business Address
ROMAN FAYZIBAYEV FNP
15333 78TH RD
FLUSHING, NY 11367-3541
Phone number: 646-508-3644
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Mailing Address
ROMAN FAYZIBAYEV FNP
15333 78TH RD
FLUSHING, NY 11367-3541
Phone number: 646-508-3644
Copy
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