Individual
ESTER FOZAILOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6607 99TH ST APT 5A, REGO PARK, NY 11374-4396
(347) 858-7193
Mailing address
6607 99TH ST APT 5A, REGO PARK, NY 11374-4396
(347) 858-7193
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0201651
NY
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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