Individual
MAHMOUD EISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-5067
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-1900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
323677
NY
208M00000X
Hospitalist Physician
Primary
323677
NY
Other
Enumeration date
09/03/2020
Last updated
11/15/2023
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