Individual provider · Type 1 NPI

Vitaliy Fatakhov, FNP

Family Nurse Practitioner · Rego Park, NY

NPI number 1699477745 Active

About NPI 1699477745

Vitaliy Fatakhov, FNP's National Provider Identifier is 1699477745, issued on Mar 21, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rego Park, NY. The record was last updated on Jun 18, 2026.