# GLOBAL REHABILITATION MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548346307
- **Authorized official:** DR. OLEG FUZAYLOV MD (SUPERVISING PHYSICIAN)
- **Authorized official phone:** (718) 275-5200

## Contact information

- **Practice address:** 9701 66TH AVE, REGO PARK, NY 11374-4245
- **Practice address phone:** (718) 275-5200
- **Practice address fax:** (718) 275-6864
- **Mailing address:** 9701 66TH AVE, REGO PARK, NY 11374-4245
- **Mailing address phone:** (718) 275-5200
- **Mailing address fax:** (718) 275-6864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 09/05/2007