Natella Fazylov, RPh
Pharmacist in Kew Gardens, NY. Individual provider (NPI-1).
NPI number1831413087
StatusActive
Last updated in NPPESMar 17, 2010
Details
- NPI
- 1831413087
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Natella Fazylov
- Credential
- RPh
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 17, 2010
- Last updated
- Mar 17, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 046354 | NY | Yes |
Practice location
11829a Metropolitan AveKew Gardens, NY 11415-2020
Phone 718-487-8100 · Fax 718-487-8300
Mailing address
11829a Metropolitan AveKew Gardens, NY 11415-2020
Phone 718-487-8100 · Fax 718-487-8300
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 25 Pharmacist providers in Kew Gardens · All 599 providers in Kew Gardens
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