Dmitriy Fuzaylov

Pain Management

Malverne, NY 11565

Male - 17 Yrs Experience - English

Location

4 Weber Ave

Malverne, NY 11565

Phone number

(516) 599-3999

Summary

Dmitriy Fuzaylov is a Pain Management located at Malverne, NY 11565 and is affiliated with New York University Langone Medical Center Hospitals. He received his medical degree from Icahn School Of Medicine At Mount Sinai and has been in practice for more than 17 years.

Professional Identification

  1. NPI#: 1093974040
  2. PAC ID: 6406980572
  3. Clinician Enrollment ID: I20100812000134
  4. Gender: Male
  5. Enumeration: June 5 2008
  6. Last Updated: October 17 2014

Medical Credentials

  1. Credential: Undefined
  2. Medical school: Icahn School Of Medicine At Mount Sinai
  3. Graduation year: 2005
  4. Taxonomy: 207LP2900X
  5. Specialty: Pain Management
  6. All specialties: Physical Medicine And Rehabilitation

Medical Practice

  1. Organization: Innovation Spine Medical Pc
  2. Group PAC ID: 4183940679
  3. Number of Group Members: 4
  4. Medicare CCN: 330214
  5. Hospital affiliation: New York University Langone Medical Center
  6. Medicare CCN: 330195
  7. Hospital affiliation: Long Island Jewish Medical Center

Medicare Assignment

  1. Clinician accepts Medicare Assignment: Y
  2. Group accepts Medicare Assignment: Y

Locations

  1. 4 Weber Ave, Malverne NY 11565 (516) 599-3999
  2. 9701 66th Ave, Rego Park NY 11374 (718) 275-5200

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