Moisey Fazylov
Moisey Fazylov is a Dentist in Flushing, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
8519 65th AveFlushing, NY 11374-5039
Phone: (347) 880-2885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 062017 (NY) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1184245300 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 28, 2020 |
| Last updated in NPPES | September 24, 2021 |
| Certification date | September 24, 2021 |
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