DR. Rafael Fazylov, MD

NPI #1124181029 in Flushing, New York

Provider Information

NPI Number: 1124181029
Entity Type: Individual
Name: DR. Rafael Fazylov, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Dec 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5645 MAIN ST
Address 2: RM M204
City: Flushing
State: New York
ZIP Code: 11355-5045
Phone: (718) 445-0220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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