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1851794705
DIANA FUZAILOV
NEW HYDE PARK, NY
NPI
1851794705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 017849-1)
Enumeration Date
2014-10-07
Last Update Date
2014-10-07
Business Address
-- DIANA FUZAILOV PA-C
27005 76TH AVE
NEW HYDE PARK, NY 11040-1402
Phone number: 516-470-7500
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Mailing Address
-- DIANA FUZAILOV PA-C
8253 167TH ST
JAMAICA, NY 11432-1822
Phone number: 646-299-8805
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