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Individual

DR. FARIBA REZAEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 276-6044
Mailing address
PO BOX 667, ROCHESTER, NY 14642-0001
(585) 276-6044

Taxonomy

Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
247171
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810009956
WV
Enumeration date
08/13/2007
Last updated
12/07/2011
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