Individual
RAYEES NIZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 COUNTY ROUTE 45A, OSWEGO, NY 13126-6664
(315) 312-0089
(315) 312-0110
Mailing address
110 W 6TH ST, OSWEGO, NY 13126-2507
(315) 349-5511
(315) 349-5921
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
204479
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01669112
—
NY
Enumeration date
05/22/2006
Last updated
10/18/2021
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