Individual
EMMANUEL FUZAYLOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
16110 JAMAICA AVE, JAMAICA, NY 11432
(718) 291-9020
(718) 291-9022
Mailing address
11056 68TH DR, FOREST HILLS, NY 11375-2953
(718) 291-9020
(718) 291-9022
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005841
NY
Other
Enumeration date
11/15/2006
Last updated
04/15/2019
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