# ARI FOZAILOW

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1952601965
- **Gender:** Man
- **Credential:** CPHT, RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 643217 | NY | Yes |
| 183700000X | Pharmacy Technician | 260100103070984 | NY | — |

## Other

- **Enumeration date:** 10/25/2010
- **Last updated:** 12/11/2016