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Individual

BORUCH FUZAILOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
15340 78TH AVE, FLUSHING, NY 11367-3439
(917) 601-3242
Mailing address
15340 78TH AVE, FLUSHING, NY 11367-3439
(917) 601-3242

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
870651
NY

Other

Enumeration date
05/09/2023
Last updated
05/09/2023
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