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

Frida Fuzailov

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891449369

Frida Fuzailov is a Physician Assistant in Forest Hills, New York. Qualified in 2023, 3 years ago. Practices with East Coast Rehabilitation Inc, a 3-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2022
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6715 102nd St Apt 3M
Forest Hills, NY 11375-2411
Phone: (646) 619-7142
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1891449369
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 4, 2022
Last updated in NPPESFebruary 4, 2022
Certification dateFebruary 4, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice East Coast Rehabilitation Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Forest Hills