Vitaliy Fatakhov

FNP | Nurse Practitioner - Family

9618 63rd Dr # 202, Rego Park
  New York, 11374-2297
347-806-2666
May or may not accept Medicare Nurse Practitioner in Rego Park, New York.
Vitaliy Fatakhov is a Rego Park, New York based nurse practitioner who is specialized as Family NP. Active license number of Vitaliy Fatakhov is F351197-01 for Family NP in New York. His current practice location is 9618 63rd Dr # 202, Rego Park. Patients can reach him at 347-806-2666 or can fax him at 718-889-6906. Vitaliy Fatakhov is FNP with specialization in Family NP and his NPI number (Unique professional ID assigned by NPPES) is 1699477745.
Vitaliy Fatakhov delivers family-focused care which means he provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Vitaliy Fatakhov speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Vitaliy Fatakhov
Specialization: Nurse Practitioner - Family (FNP)
Gender:Male
Credentials: FNP
Practice Address:9618 63rd Dr # 202, Rego Park,
New York, 11374-2297
Phone:347-806-2666
Fax:718-889-6906
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1699477745
NPI Enumeration Date: 21 Mar, 2023
NPI Last Update On: 18 Jun, 2026

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Vitaliy Fatakhov are as mentioned below.
License NumberSpecializationStateStatus
F351197-01Family NP New YorkPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Vitaliy Fatakhov
9618 63rd Dr # 202,
Rego Park, New York
Zip: 11374-2297
Phone Number: 347-806-2666
Fax Number: 718-889-6906
Patients can reach Vitaliy Fatakhov at 9618 63rd Dr # 202, Rego Park, New York or can call to book an appointment on 347-806-2666.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.