ISTAM MAZAL FUZAILOV

FOREST HILLS, NY
NPI1760959241
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
Enumeration Date2018-11-01
Last Update Date2018-11-01
Business Address
ISTAM MAZAL FUZAILOV
11241 QUEENS BLVD
FOREST HILLS, NY 11375-7475
Phone number: 929-386-0244
Mailing Address
ISTAM MAZAL FUZAILOV
11241 QUEENS BLVD
FOREST HILLS, NY 11375-7475
Phone number:
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