Emmanuel Fuzaylov, DPM Valid NPI
Individual provider · Podiatrist · Jamaica, NY
- NPI
- 1033281639
- Type
- Individual (Type 1)
- Primary specialty
- Podiatrist
- Specialty group
- Podiatric Medicine & Surgery Service Providers
- Taxonomy code
- 213E00000X
- License number
- N005841 (NY)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-11-15
- Last updated
- 2019-04-15
Practice location
16110 Jamaica Ave
Jamaica, NY 11432
(718) 291-9020