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Organization

ROMAN NP IN FAMILY HEALTH PLLC

Active
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Organization

ROMAN NP IN FAMILY HEALTH PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROMAN FAYZIBAYEV FNP (FAMILY NURSE PRACTITIONER)
(646) 508-3644
Entity
Organization

Contact information

Practice address
9934 65TH AVE, REGO PARK, NY 11374-3653
(646) 508-3644
Mailing address
9934 65TH AVE, REGO PARK, NY 11374-3653
(646) 508-3644

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—

Other

Enumeration date
12/15/2025
Last updated
02/21/2026
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