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Organization
RACHEL FAZILOV SLP PLLC
Active
Organization
RACHEL FAZILOV SLP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL FAZILOV (CEO)
(347) 418-2623
Entity
Organization
Contact information
Practice address
14460 GRAVETT RD APT 2C, FLUSHING, NY 11367-1307
(347) 418-2623
Mailing address
14460 GRAVETT RD APT 2C, FLUSHING, NY 11367-1307
(347) 418-2623
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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