Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DMITRIY FUZAYLOV, MD
Active Sole ProprietorDMITRIY FUZAYLOV, MD is a Pain Medicine (Anesthesiology) healthcare provider located in REGO PARK, New York. NPI 1093974040 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (Anesthesiology) · REGO PARK, NY
Registration Details
- NPI Number
- 1093974040
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2008 (18.238008214834 yrs)
- Last Updated
- Oct 17, 2014
- Licenses
-
241269 (NY)MD436995 (PA)241269 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9701 66TH AVEREGO PARK, NY, 113744245Browse NY providers · Browse ZIP 11374
- Phone
- 7182755200
- Fax
- 7182756864
- Primary Specialty
-
Pain Medicine (Anesthesiology)
207LP2900X
- Additional Specialty
- Pain Medicine (Anesthesiology)
- Additional Specialty
- Pain Medicine (Anesthesiology)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.