Individual
DR. MOHAMED AKIL FAZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 E 17TH ST, 1402, NEW YORK, NY 10003-3804
(212) 598-6000
Mailing address
223 2ND AVE APT 7B, NEW YORK, NY 10003-2723
(646) 730-5109
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
P77193
NY
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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