Individual
DANIEL FAYBYSHEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
260 AVENUE X, BROOKLYN, NY 11223-5940
(718) 522-3399
(718) 522-1888
Mailing address
99 OLD AMBOY RD APT 302, OLD BRIDGE, NJ 08857-3480
(347) 853-2944
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
033259
NY
Other
Enumeration date
01/16/2025
Last updated
11/24/2025
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