Individual
MR. SASON HAIMOV FUZAILOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
729 ELMONT RD, ELMONT, NY 11003-4035
(917) 615-3322
Mailing address
729 ELMONT RD, ELMONT, NY 11003-4035
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NY
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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