Fazylov, Roman

Fazylov, Roman is an sole proprietor health care provider with primary practice located at 800 2Nd Ave , New York NY 10017-4709. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Fazylov, Roman can be contacted via phone (646) 918-7363.

Contact Information

Primary practice address
800 2Nd Ave New York NY 10017-4709
Phone: (646) 918-7363
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 059235 New York

Profile Details

NPI number 1609240845
LBN Legal business name Fazylov, Roman
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2015
Last updated Nov 28th, 2015 - about 10 years 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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