Individual
EDUARD FUZAYLOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TEACHER
Contact information
Practice address
15015 79TH AVE APT 4A, FLUSHING, NY 11367-3911
(646) 270-6249
Mailing address
15015 79TH AVE APT 4A, FLUSHING, NY 11367-3911
(646) 270-6249
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
07/21/2017
Last updated
07/21/2022
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