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1790144962
BORIS FUZAYLOV
BROOKLYN, NY
NPI
1790144962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 019508)
Enumeration Date
2016-02-17
Last Update Date
2023-04-11
Business Address
BORIS FUZAYLOV PA
506 6TH ST
BROOKLYN, NY 11215-3609
Phone number: 718-780-3000
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Mailing Address
BORIS FUZAYLOV PA
8821 63RD AVE
REGO PARK, NY 11374-2813
Phone number: 718-629-8172
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