Individual
DR. LEONARD FUZAYLOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
15036 UNION TPKE, FLUSHING, NY 11367-3928
(718) 591-3000
Mailing address
15036 UNION TPKE, FLUSHING, NY 11367-3928
(718) 591-3000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008487
NY
Other
Enumeration date
07/01/2016
Last updated
06/19/2019
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