Organization
TRIBORO PODIATRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL FUZAYLOV DPM (OWNER)
(718) 618-6528
Entity
Organization
Contact information
Practice address
16110 JAMAICA AVE, SUITE B, JAMAICA, NY 11432-6139
(718) 618-6528
Mailing address
16110 JAMAICA AVE, SUITE B, JAMAICA, NY 11432-6139
(718) 618-6528
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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