SearchNew York207L00000X

Vyacheslav Fattakhov, M.D

NPI 1952395303 · on the registry since 2005

Practice

Address
108 Burnham Ave
Roslyn Heights, NY 11577
Phone
(718) 795-7586
Fax
(347) 826-4155

Registry record

Primary taxonomy
207L00000X
207L00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-05-01

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