DIANA FUZAILOV

NEW HYDE PARK, NY
NPI1851794705
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: NY  017849-1)
Enumeration Date2014-10-07
Last Update Date2014-10-07
Business Address
DIANA FUZAILOV PA-C
27005 76TH AVE
NEW HYDE PARK, NY 11040-1402
Phone number: 516-470-7500
Mailing Address
DIANA FUZAILOV PA-C
8253 167TH ST
JAMAICA, NY 11432-1822
Phone number: 646-299-8805
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