Individual provider · Type 1 NPI

Rena Fazilova

Registered Nurse · Long Island City, NY

NPI number 1114721990 Active

Practice location

2811 Queens Plz N Fl 5
Long Island City, NY 11101-4172

Call (718) 391-8300 Map

Mailing address

14135 78th Rd Apt 2M
Flushing, NY 11367-3341

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X982772 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1114721990

Rena Fazilova's National Provider Identifier is 1114721990, issued on Apr 2, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Long Island City, NY. The record was last updated on Apr 2, 2025.