Dr Rafael Fazylov, MD | |
5645 Main St, Rm M204, Flushing, NY 11355-5045 | |
(718) 445-0220 | |
(718) 939-1167 |
Full Name | Dr Rafael Fazylov |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 32 Years |
Location | 5645 Main St, Flushing, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124181029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 240907 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Nyc Health + Hospitals/coney Island | Brooklyn, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Coney Island Medical Practice Plan, P.c. | 5496944803 | 319 |
Entity Name | Coney Island Medical Practice Plan, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386951762 PECOS PAC ID: 5496944803 Enrollment ID: O20110114000660 |
Entity Name | Physician Affiliate Group Of New York Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013375526 PECOS PAC ID: 4688098833 Enrollment ID: O20200721001270 |
Mailing Address | Practice Location Address |
---|---|
Dr Rafael Fazylov, MD 5645 Main St, Rm M204, Flushing, NY 11355-5045 Ph: (718) 445-0220 | Dr Rafael Fazylov, MD 5645 Main St, Rm M204, Flushing, NY 11355-5045 Ph: (718) 445-0220 |
Dr. Frederic Weinbaum, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 5645 Main St, Rm-m204, Flushing, NY 11355 Phone: 718-445-0220 Fax: 718-939-1167 | |
Teagan Lynn Thorson, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 425-246-8328 | |
Steven Yeh-geng Chao, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5645 Main St, W-ll300, Flushing, NY 11355 Phone: 718-445-0220 Fax: 718-939-1167 | |
Li Tong Du, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-445-0220 Fax: 718-939-1167 | |
Dr. Chih-ching Hsu, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4260 Main St, Medical Plaza, Suite B, Flushing, NY 11355 Phone: 718-886-4171 Fax: 718-886-4514 | |
Stephen Merola, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-445-0220 Fax: 718-939-1167 |