Petr Fakhlayev

NPI #1669650784 in Woodhaven, New York

Provider Information

NPI Number: 1669650784
Entity Type: Individual
Name: Petr Fakhlayev
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jan 31, 2008
Last Updated: Nov 20, 2013

Practice Location

Address: 9213 JAMAICA AVE
City: Woodhaven
State: New York
ZIP Code: 11421-2108
Phone: (917) 337-0934

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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