Dr DMITRIY FUZAYLOV is a male medical professional, specializing in Pain Management. He graduated in 2005 from Mount Sinai School Of Medicine Of City University Of New York.
INNOVATION SPINE MEDICAL PC
4 WEBER AVE
MALVERNE
NY
115651742
Tel: 5165993999
| Npi | 1093974040 |
| Pac Id | 6406980572 |
| Professional Enrollment Id | I20100812000134 |
| Last Name | FUZAYLOV |
| First Name | DMITRIY |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | MOUNT SINAI SCHOOL OF MEDICINE OF CITY UNIVERSITY OF NEW YORK |
| Graduation Year | 2005 |
| Primary Specialty | PAIN MANAGEMENT |
| Secondary Specialty 1 | PHYSICAL MEDICINE AND REHABILITATION |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | PHYSICAL MEDICINE AND REHABILITATION |
| Organization Legal Name | INNOVATION SPINE MEDICAL PC |
| Group Practice Pac Id | 4183940679 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 4 WEBER AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | MALVERNE |
| State | NY |
| Zip Code | 115651742 |
| Phone Number | 5165993999 |
| Hospital Affiliation Ccn 1 | 330214 |
| Hospital Affiliation Lbn 1 | NEW YORK UNIVERSITY LANGONE MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.