Individual
MS. TZIPORA FUZAYLOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, CBS, IBCLC
Contact information
Practice address
14418 71ST AVE, FLUSHING, NY 11367-2007
(917) 574-2461
Mailing address
14418 71ST AVE, FLUSHING, NY 11367-2007
(917) 574-2461
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-304026
VA
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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