Individual
ALBERT FUZAILOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14014 JEWEL AVE, FLUSHING, NY 11367-1654
(718) 261-6307
Mailing address
14014 JEWEL AVE, FLUSHING, NY 11367-1654
(718) 261-6307
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
046599-1
NY
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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