Organization
NYS MEDICAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SVETLANA FUZAYLOVA MD (PRESIDENT)
(718) 986-7774
Entity
Organization
Contact information
Practice address
9218 165TH ST, JAMAICA, NY 11433-1104
(718) 725-0044
(718) 725-0880
Mailing address
51 FIELD LN, ROSLYN HEIGHTS, NY 11577-2605
(718) 986-7774
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01987957
—
NY
Enumeration date
10/21/2021
Last updated
10/21/2021
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