Individual
MARGARITA FUZAYLOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9701 66TH AVE, REGO PARK, NY 11374-4245
(718) 275-5200
(718) 275-6864
Mailing address
9701 66TH AVE, REGO PARK, NY 11374-4245
(718) 275-5200
(718) 275-6864
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
230019
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02593162
—
NY
Enumeration date
10/25/2006
Last updated
07/08/2007
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