Individual
FOZIA BAKSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4811 BUCKLEY RD, LIVERPOOL, NY 13088-3629
(315) 457-9966
(315) 379-4900
Mailing address
214 KING ST, OGDENSBURG, NY 13669-1142
(315) 379-4700
(315) 379-4900
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
202547
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222110646
BUSINESS TAX ID #
NJ
Enumeration date
03/24/2006
Last updated
09/24/2020
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