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Contact Information

EMMANUEL FUZAYLOV, DPM
16110 JAMAICA AVE
JAMAICA, NY11432
 Phone: 718-291-9020
 Fax: 718-291-9022
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for EMMANUEL FUZAYLOV · (Male)

NPI Number 1033281639
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 11/15/2006
Last updated 04/15/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # N005841
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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