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

Moisey Fazylov

Individual provider Dentist · NPI 1184245300

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 Ave
Flushing, NY 11374-5039
Phone: (347) 880-2885
Show map & directions

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 number1184245300
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 28, 2020
Last updated in NPPESSeptember 24, 2021
Certification dateSeptember 24, 2021

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