Individual
BETH FUZAILOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BPS
Contact information
Practice address
14412 70TH RD, FLUSHING, NY 11367-1718
(646) 867-4617
Mailing address
14412 70TH RD, FLUSHING, NY 11367-1718
(646) 867-4617
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
069455
NY
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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