Organization
DANNY FUZAYLOV PA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY FUZAYLOV PA (CEO)
(631) 616-5333
Entity
Organization
Contact information
Practice address
145 PINELAWN RD, MELVILLE, NY 11747-7103
(917) 670-7084
(718) 865-5653
Mailing address
145 PINELAWN RD, MELVILLE, NY 11747-7103
(917) 670-7084
(718) 865-5653
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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