Fuzailov, Diana

Fuzailov, Diana is an individual health care provider with primary practice located at 27005 76Th Ave , New Hyde Park NY 11040-1402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fuzailov, Diana can be contacted via phone (516) 470-7500.

Contact Information

Primary practice address
27005 76Th Ave New Hyde Park NY 11040-1402
Phone: (516) 470-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 017849-1 New York

Profile Details

NPI number 1851794705
LBN Legal business name Fuzailov, Diana
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2014
Last updated Oct 7th, 2014 - about 12 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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