Fatakhov, Vitaliy

Fatakhov, Vitaliy is an individual health care provider with primary practice located at 9618 63Rd Dr # 202 , Rego Park NY 11374-2297. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Fatakhov, Vitaliy can be contacted via phone (347) 806-2666.

Contact Information

Primary practice address
9618 63Rd Dr # 202 Rego Park NY 11374-2297
Phone: (347) 806-2666
Fax: (718) 889-6906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F351197-01 New York

Profile Details

NPI number 1699477745
LBN Legal business name Fatakhov, Vitaliy
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2023
Last updated Jun 18th, 2026 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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