Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Rafael Fazylov, MD

Individual provider Surgery Physician · NPI 1124181029

Dr. Rafael Fazylov, MD is a General Surgery in Flushing, New York. Qualified in 1992, 34 years ago. Practices with Physician Affiliate Group of New York PC, a 1,224-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
34
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5645 Main St Rm M204
Flushing, NY 11355-5045
Phone: (718) 445-0220
Fax: (718) 939-1167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 240907 (NY)

Record details

NPI number1124181029
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 19, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Physician Affiliate Group Of New York Pc — 1224 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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