Individual
MR. DANNY FUZAYLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
374 STOCKHOLM ST, C/O FACULTY PRACTICE MANAGEMENT, BROOKLYN, NY 11237-4006
(718) 963-6551
Mailing address
374 STOCKHOLM ST, C/O FACULTY PRACTICE MANAGEMENT, BROOKLYN, NY 11237-4006
(718) 963-6551
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014110
NY
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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