| Yakov Fuzaylov Dental Pc | |
|
7835 B Springfield Blvd Queens Village NY 11364 | |
| (718) 470-2320 | |
| (718) 470-2321 |
| Full Name | Yakov Fuzaylov Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7835 B Springfield Blvd, Queens Village, New York |
| Authorized Official Name and Position | Yakov Fuzaylov (OWNER) |
| Authorized Official Contact | 7184702320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yakov Fuzaylov Dental Pc 7835 B Springfield Blvd Queens Village NY 11364 Ph: (718) 470-2320 | Yakov Fuzaylov Dental Pc 7835 B Springfield Blvd Queens Village NY 11364 Ph: (718) 470-2320 |
| NPI Number | 1932866514 |
|---|---|
| Provider Enumeration Date | 11/18/2021 |
| Last Update Date | 11/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932866514 | NPI | - | NPPES |
| 03271583 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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