Individual provider · Type 1 NPI

Sarah Shelley Fuzailov

Family Nurse Practitioner · Kew Gardens, NY

NPI number 1184390890 Active

Practice location

8403 Cuthbert Rd
Kew Gardens, NY 11415-2140

Mailing address

14412 70th Rd
Flushing, NY 11367-1718

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X824589 (NY)
Family Nurse Practitioner Primary 363LF0000X353454 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1184390890

Sarah Shelley Fuzailov's National Provider Identifier is 1184390890, issued on Aug 22, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kew Gardens, NY. The record was last updated on Nov 1, 2024.