Eduard Fuzaylov (NPI# 1891974507, PAC ID# 2062592272) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1891974507 |
| PAC ID by PECOS | 2062592272 |
| Professional Enrollment ID | I20071231000008 |
| Full Name | Eduard Fuzaylov |
| Organization Legal Name | THEODORE C DOCU MD, PC |
| Address |
506 Fort Washington Ave Suite 1f New York NY 10033-2081 |
| Phone Number | 2125680553 |
| Gender | M |
| Graduation Year | 1989 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6002911070 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310111 | CENTRASTATE MEDICAL CENTER |
| 310084 | MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 223 Taylors Mills Rd, Manalapan, NJ 07726-3229 | ||
| 506 Fort Washington Ave, Suite 1f, New York, NY 10033-2081 | 2125680553 | THEODORE C DOCU MD, PC |
| Organization Legal Name | THEODORE C DOCU MD, PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fernando Bobis | Internal Medicine | Theodore C Docu Md, PC | 506 Fort Washington Ave, Suite 1f, New York, NY 10033-2081 |
| Theodore Docu | Internal Medicine | Theodore C Docu Md, PC | 506 Fort Washington Ave, Suite 1f, New York, NY 10033-2081 |
| Theresa M Miller | Family Medicine | Theodore C Docu Md, PC | 506 Fort Washington Ave, Suite 1f, New York, NY 10033-2081 |
| Street Address |
506 FORT WASHINGTON AVE SUITE 1F |
| City | NEW YORK |
| State | NY |
| Zip | 10033-2081 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fernando Bobis | Internal Medicine | Theodore C Docu Md, PC | 506 Fort Washington Ave, Suite 1f, New York, NY 10033-2081 |
| Theodore Docu | Internal Medicine | Theodore C Docu Md, PC | 506 Fort Washington Ave, Suite 1f, New York, NY 10033-2081 |
| Theresa M Miller | Family Medicine | Theodore C Docu Md, PC | 506 Fort Washington Ave, Suite 1f, New York, NY 10033-2081 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Issachar Karten | Family Medicine | 710 W 187 St, New York, NY 10033-1201 | |
| Joseph F Dorsten | Diagnostic Radiology | 183 Pinehurst Ave, Apt 52, New York, NY 10033-1824 | |
| Michael Jerome | Internal Medicine | Advantagecare Physicians PC | 4337 Broadway, New York, NY 10033-2411 |
| Xelenia Erlyn Depena | Family Medicine | Advantagecare Physicians PC | 4337 Broadway, New York, NY 10033-2411 |
| Lisa Calandra | Podiatry | Advantagecare Physicians PC | 4337 Broadway, New York, NY 10033-2411 |
| Ariel T H Frank | Nurse Practitioner | Advantagecare Physicians PC | 4337 Broadway, New York, NY 10033-2411 |
| Martha Valdivia | Internal Medicine | Groupo Medico Dominicano Pllc | 629 W 185th St, New York, NY 10033-3102 |
| Juan F Chabla | Family Medicine | 639 W 185th St, New York, NY 10033-3102 | |
| Samir Aziz | Physical Therapy | Groupo Medico Dominicano Pllc | 629 W 185th St, New York, NY 10033-3102 |
| Constantine E Kosmas | Cardiovascular Disease (cardiology) | Cardiology Unlimited PC | 629 W 185th St, Suite 2, New York, NY 10033-3102 |
| Find all physicians in zip 10033 | |||
| City | NEW YORK |
| Zip Code | 10033 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | NEW YORK + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Eduard Fuzaylov.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.