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

Vitaliy Fatakhov, FNP

Individual provider Family Nurse Practitioner · NPI 1699477745

Vitaliy Fatakhov, FNP is a Family Nurse Practitioner in Rego Park, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

9618 63rd Dr # 202
Rego Park, NY 11374-2297
Phone: (347) 806-2666
Fax: (718) 889-6906
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F351197-01 (NY)

Record details

NPI number1699477745
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 21, 2023
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026

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