DR. Natalya Fazylova, NP

NPI #1255632618 in Rego Park, New York

Provider Information

NPI Number: 1255632618
Entity Type: Individual
Name: DR. Natalya Fazylova, NP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Credential: NP
Enumeration Date: Nov 16, 2010
Last Updated: Oct 12, 2015

Practice Location

Address: 8575 66TH AVE
City: Rego Park
State: New York
ZIP Code: 11374-5219
Phone: (718) 275-1061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary
Nurse Practitioner - Adult Health — Adult Health	363LA2200X

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