Organization
REGO PARK MEDICAL ASSOCIATE,P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAVRIEL FUZAYLOV M D (PRESIDENT)
(718) 897-0327
Entity
Organization
Contact information
Practice address
9851 QUEENS BLVD, SUITE 1D, REGO PARK, NY 11374-4362
(718) 897-0327
(718) 897-0237
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
261QP2300X
Primary Care Clinic/Center
Primary
200199
NY
Other
Enumeration date
01/26/2010
Last updated
07/05/2023
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