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Individual

BORIS FUZAYLOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
7505 NW 71ST TER, PARKLAND, FL 33067-3947
(718) 490-9359
Mailing address
10025 QUEENS BLVD APT 5S, FOREST HILLS, NY 11375-2460
(718) 490-9359

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
053106
NY
183500000X
Pharmacist
Primary
64037
FL

Other

Enumeration date
02/25/2010
Last updated
07/17/2022
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