DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MOISEY FAZYLOV

Active Sole Proprietor

MOISEY FAZYLOV is a Dentist healthcare provider located in FLUSHING, New York. NPI 1184245300 is currently active in the NPPES registry. Verify at CMS.

Dentist · FLUSHING, NY

Registration Details

NPI Number
1184245300
Provider Type
Individual
Gender
Male
NPI Issued
Apr 28, 2020 (6.2934863394579 yrs)
Last Updated
Sep 24, 2021
License
062017 (NY)
Sole Proprietor
Yes

Practice Information

Address
8519 65TH AVE
FLUSHING, NY, 113745039
Browse NY providers · Browse ZIP 11374
Phone
3478802885
Primary Specialty
Dentist
122300000X

Other Dentist Providers in FLUSHING, NY

Name Credential NPI
DR. JAMES E. LEE DDS 1811999329
DR. SEUNG HYUK YANG DMD 1205827482
MR. HUI BYUNG PARK DDS 1285616417
DR. MELTON ARTHUR ADLER DDS 1851373575
DR. DANIELLE LEAH SIM DMD 1285610329
DR. SU K JIN DDS 1588643696
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.