Individual
DR. GAVRIEL FUZAYLOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10210 66TH RD STE 1H, FOREST HILLS, NY 11375-2047
(718) 897-0327
(844) 965-9107
Mailing address
10210 66TH RD STE 1H, FOREST HILLS, NY 11375-2047
(718) 897-0327
(844) 965-9107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200199
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01586676
—
NY
Enumeration date
08/11/2006
Last updated
07/05/2023
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