STAN FUZAYLOV


Address: 1295 1st Ave, New York, NY 10021-5584
Phone: 2125354469

STAN FUZAYLOV (NPI# 1649626953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649626953
Entity Type Individual
Full Name STAN FUZAYLOV
Credential OPTHALMIC DESPENCER
Practice Address 1295 1st Ave
New York
NY 10021-5584
Practice Telephone 2125354469
Mailing Telephone 2125354469
Enumeration Date 2016-05-05
Last Update Date 2016-05-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
009893 NY Eye and Vision Services Providers

Office Location

Street Address 1295 1ST AVE
City NEW YORK
State NY
Zip Code 10021-5584

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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1275085029 Sacher & Silver, Inc Technician/Technologist 92 Thompson St, New York, NY 10012-3713 2016-10-27
1043696081 Igor Abramov Technician/Technologist 1156 6th Ave, New York, NY 10036-2702 2015-07-31
1386057339 Specs Rx Inc Technician/Technologist 810 Broadway, New York, NY 10003-4800 2014-06-07
1801219795 Eleonora Abramov Technician/Technologist 218 Madison Ave, New York, NY 10016-3466 2014-01-28
1720419625 Alexandra & Ethan, Inc. Technician/Technologist 385 Fifth Avenue, New York, NY 10016 2013-12-03
1952746752 Igor Rozhansky Technician/Technologist 288 Columbus Ave, New York, NY 10023-2302 2013-05-07
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Competitor

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City NEW YORK
Zip Code 10021

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Dataset Information

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.

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