DR. YAKOV FUZAYLOV (NPI# 1043524200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043524200 |
| Entity Type | Individual |
| Full Name | DR. YAKOV FUZAYLOV |
| Credential | DDS |
| Practice Address |
630 Old Country Rd Unit 1d Garden City NY 11530-3420 |
| Mailing Address |
9876 Queens Blvd Apt 3h Rego Park NY 11374-4335 |
| Practice Telephone | 5162941919 |
| Mailing Telephone | 9172020190 |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
50055027 | NY | Dental Providers |
| Street Address |
630 OLD COUNTRY RD UNIT 1D |
| City | GARDEN CITY |
| State | NY |
| Zip Code | 11530-3420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144850207 | Ellen Jay Palacio Mabatid | Physical Therapist | 66 New Hyde Park, Garden City, NY 11530 | 2020-01-16 |
| 1255991022 | Rubin Anesthesia Pain Management, Pllc | Anesthesiology | 1103 Stewart Avenue, Suite 300, Garden City, NY 11530 | 2019-06-14 |
| 1144793720 | Jack Doby Garden City, LLC | Eyewear Supplier (Equipment, not the service) | Jack Doby Garden City, LLC, 928 Old Country Road, Garden City, NY 11530 | 2019-01-07 |
| 1386135051 | Granger & Sahasra | Dentist | 1103 Stewart Avenue Suite 104, Garden City, NY 11530 | 2018-05-29 |
| 1598262537 | Suzanne P. Reid-bradshaw | Specialist | Kidz Therapy, 300 Garden City Plaza, Garden City, NY 11530 | 2018-04-06 |
| 1972021129 | Nicole Maria Gaudino | Nurse Practitioner | One South Avenue, Waldo Hall, Garden City, NY 11530 | 2017-09-07 |
| 1619495645 | Christine Scheppa | Registered Nurse | 225 Brompton Rd South, Garden City South, NY 11530 | 2017-08-30 |
| 1699290981 | Deborah Ann Pontosky | Registered Nurse | 104 Fifth Street, Garden City, NY 11530 | 2017-08-08 |
| 1932648748 | Tahmina Jahir | Student in an Organized Health Care Education/Training Program | 15 Hilton Ave, Garden City, NY 11530 | 2017-02-14 |
| 1598209173 | Dino Michelli | Specialist | 300 Garden City Plaza, Ste 350, Kidz Therapy/ Gayle E. Kligman Therapeutic Resources, Garden City, NY 11530 | 2016-12-15 |
| Find all providers in zip 11530 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942682828 | Skyler Glen Romriell | Dentist | 218 East Fulton Street, Garden City, KS 67846-6151 | 2015-06-26 |
| 1437433323 | Jaime Bremnes | Dentist | 520 Franklin Ave Ste 126, Garden City, NY 11530-5876 | 2011-10-10 |
| 1992967723 | Fischer Family Dental | Dentist | 32669 W Warren, Warren Venoy Plaza, Garden City, MI 48135 | 2008-07-02 |
| 1770751653 | Monqiue Yvonne Lindsey | Dentist | 28050 Ford Rd, Suite D, Garden City, MI 48135-2967 | 2008-02-13 |
| 1962681882 | Patricia Alejandra Diaz | Dentist | 29627 Ford Rd., Garden City, MI 48135 | 2007-10-27 |
| 1922294644 | Florence Flores | Dentist | 300 Garden City Plz Ste 452, Garden City, NY 11530-3332 | 2007-09-16 |
| 1437362068 | Michael R. Reich, D.d.s., P.C. | Dentist | 7110 Venoy, Garden City, MI 48135-1637 | 2007-05-08 |
| 1487872057 | Sandra C. Johnson | Dentist | 270 Nassau Blvd, Garden City, NY 11530-5339 | 2007-04-20 |
| 1255452009 | David Eric Tepel | Dentist | 520 Franklin Ave Ste 203, Garden City, NY 11530-5815 | 2007-04-02 |
| 1730205758 | William Wallace Faulk | Dentist | 4510 Augusta Rd, Garden City, GA 31408-1750 | 2007-03-21 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 11530 |
Please comment or provide details below to improve the information on DR. YAKOV FUZAYLOV.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.