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1710450184
ASA CHAIM FUZAILOV
BROOKLYN, NY
NPI
1710450184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 023110-1)
Enumeration Date
2019-01-08
Last Update Date
2019-01-08
Business Address
ASA CHAIM FUZAILOV PA-C
2601 OCEAN PKWY
BROOKLYN, NY 11235-7745
Phone number: 718-616-3440
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Mailing Address
ASA CHAIM FUZAILOV PA-C
2601 OCEAN PKWY
BROOKLYN, NY 11235-7791
Phone number: 718-616-3440
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