DR. Vyacheslav Fattakhov, M.D
NPI #1952395303 in Roslyn Heights, New York
Provider Information
- NPI Number
- 1952395303
- Entity Type
- Individual
- Name
- DR. Vyacheslav Fattakhov, M.D
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Anesthesiology
- Credential
- M.D
- Enumeration Date
- Aug 31, 2005
- Last Updated
- May 1, 2013
Practice Location
- Address
- 108 BURNHAM AVE
- City
- Roslyn Heights
- State
- New York
- ZIP Code
- 11577-1935
- Phone
- (718) 795-7586
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology |
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