Individual
FAROKH FOROOZESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
370 E RIDGE RD, ROCHESTER, NY 14621-1240
(585) 922-0600
Mailing address
370 E RIDGE RD, ROCHESTER, NY 14621-1240
(585) 922-0600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
118603
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110244048
MEDICARE RAILROAD #
NY
01
—
118603-0B
WORKERS COMP #
NY
Enumeration date
05/02/2006
Last updated
05/17/2019
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