MEDICARE: SARAH SHELLEY FUZAILOV

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	824589	NY
2	363LF0000X	Family Nurse Practitioner	353454	NY

General Provider Information

NPI Number	:	1184390890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH SHELLEY FUZAILOV

Provider Business Mailing Address
First Line	:	14412 70TH RD
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11367-1718
Country	:	US
Telephone Number	:	929-401-7445
Fax Number	:

Provider Business Practice Location Address
First Line	:	8403 CUTHBERT RD
Second Line	:
City	:	KEW GARDENS
State	:	NY
Zip	:	11415-2140
Country	:	US
Telephone Number	:	347-454-9082
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2021
Last Update Date	:	11/01/2024

Similar Medicare Providers

1295061273 — GOOD HEALTH MEDICAL OFFICE,P.C.
Practice Location Address:

8403 CUTHBERT RD , 1A
KEW GARDENS, NY
11415-2140

Practice Phone: 718-441-0519
Practice Fax: 718-441-0554

1972821486 — ADVANCED SLEEP SOLUTIONS INC.
Practice Location Address:

8403 CUTHBERT RD , 1 A
KEW GARDENS, NY
11415-2140

Practice Phone: 718-441-0519
Practice Fax: 718-441-0554

1851695472 — WISE MEDICINE, PC
Practice Location Address:

8403 CUTHBERT RD , SUITE 1A
KEW GARDENS, NY
11415-2140

Practice Phone: 718-441-0519
Practice Fax: 718-441-0554

1366701823 — WELLNESS CENTER FOR SLEEP & DIAGNOSTICS INC
Practice Location Address:

8403 CUTHBERT RD , APT 1A
KEW GARDENS, NY
11415-2140

Practice Phone: 917-957-4489
Practice Fax: 718-441-0554

1972207959 — MRS. CRISTINA ZALDIVAR RN
Practice Location Address:

8403 CUTHBERT RD
KEW GARDENS, NY
11415-2140

Practice Phone: 347-454-9082
Practice Fax:

1134900194 — LEVANA PITT-SYLVESTER
Practice Location Address:

8403 CUTHBERT RD
KEW GARDENS, NY
11415-2140

Practice Phone: 347-454-9082
Practice Fax:

Directions to “ SARAH SHELLEY FUZAILOV ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.