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Individual

EMILY NELL FATAKHOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3 E 101ST ST LBBY 1, NEW YORK, NY 10029-6528
(212) 241-6335
Mailing address
3 E 101ST ST LBBY 1, NEW YORK, NY 10029-6528

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
280607
NY

Other

Enumeration date
06/12/2014
Last updated
10/18/2019
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