Organization
EXCELASSIST MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLEG FUZAYLOV (MEDICAL DIRECTOR)
(646) 346-4304
Entity
Organization
Contact information
Practice address
97-01 66 AVE, REGO PARK, NY 11374
(646) 346-4304
Mailing address
97-01 66 AVE, REGO PARK, NY 11374
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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