| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | FUZAYLOV OLEG RAFAELOVICH · OLEG R FUZAYLOV | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | OLEG | [sources] | |||
| ID Number | 00220254 | [sources] | |||
| Last name | FUZAYLOV | [sources] | |||
| Middle name | R | [sources] | |||
| NPI | 1912082504 | [sources] | |||
| Sector | Physician | [sources] | |||
| Unique Entity ID | ZCGYTUMD7SE4 | [sources] | |||
| Position | PAIN MANAGEMENT (PHYSICIAN (MD, DO)) | [sources] | |||
| Address | OTISVILLE, NY 10963 · P O BOX 1000, #92118-053, OTISVILLE, NY 10963 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States · OMIG
People and companies excluded from Federally funded health care programs
United States · OIG
A database of suppliers who have been excluded from participating in US federal procurement.
United States · GSA
us-medny-d7f54672e635006f91f8db14d45ea1cd6e7b54f9 · us-fed-excl-oleg-r-fuzaylov-10963-otisvilleFor experts: raw data explorer
OpenSanctions is free for non-commercial users. Businesses must acquire a data license to use the dataset.
| United States | New York State Office of the Medicaid Inspector General | - | - |
| United States | OPM | Reciprocal | - |