Individual
MRS. SVETLANA KUTUZOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4-02 SUMMIT AVE, FAIR LAWN, NJ 07410-2129
(347) 749-3000
Mailing address
4-02 SUMMIT AVE, FAIR LAWN, NJ 07410-2129
(347) 749-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR22545900
NJ
363LF0000X
Family Nurse Practitioner
26NJ15486800
NJ
363LF0000X
Family Nurse Practitioner
F358323-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJ15486800
APRN
NJ
01
—
26NR22545900
EMPIRE BLUE CROSS
NJ
01
—
F358323-01
FNP
NY
Enumeration date
06/14/2021
Last updated
12/25/2025
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