Individual
DR. RUBEN FAYZAKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
99 GREENWICH AVE, GREENWICH, CT 06830-5511
(203) 862-9320
Mailing address
6837 YELLOWSTONE BLVD APT D55, FOREST HILLS, NY 11375-3415
(347) 414-4761
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0015804
CT
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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