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

Individual provider Occupational Therapist · NPI 1760959241

Istam Mazal Fuzailov is an Occupational Therapist in Forest Hills, New York. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

11241 Queens Blvd
Forest Hills, NY 11375-7475
Phone: (929) 386-0244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1760959241
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 1, 2018
Last updated in NPPESNovember 1, 2018

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