Individual
FAIZO MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 E GENESEE ST STE 101, AUBURN, NY 13021-4112
(315) 253-5151
(315) 253-0841
Mailing address
1512 GRANT BLVD, SYRACUSE, NY 13208-3014
(315) 416-2572
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2024
Last updated
10/25/2025
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