SearchNew York332B00000X

Sason Haimov Fuzailov

NPI 1801643341 · on the registry since 2024 · sole proprietor

Practice

Address
729 Elmont Rd
Elmont, NY 11003
Phone
(917) 615-3322
Organisation at this address
Ortho Med Spa Inc
Reddy Dental Associates
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
332B00000X
332B00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York