Organization
DR. FAZELI & DR. BROUMAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIN FAZELI M.D. (PRESIDENT)
(315) 663-0100
Entity
Organization
Contact information
Practice address
4110 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6613
(315) 663-0100
(315) 663-0052
Mailing address
4110 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6613
(315) 663-0100
(585) 663-0052
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/05/2006
Last updated
03/07/2024
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