Fuzaylova, Svetlana

Fuzaylova, Svetlana is an individual health care provider with primary practice located at 4402 Francis Lewis Blvd Suite A, Bayside NY 11361-3041. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Fuzaylova, Svetlana can be contacted via phone (718) 631-0500.

Contact Information

Primary practice address
4402 Francis Lewis Blvd Suite A Bayside NY 11361-3041
Phone: (718) 631-0500
Fax: (718) 281-1276
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 214465 New York

Profile Details

NPI number 1003911033
LBN Legal business name Fuzaylova, Svetlana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jul 15th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003911033 NPPES
New York MEDICAID 01987957

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