Individual
MOHAMMADOMID EDRISSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 ALEXANDER ST, RHEUMATOLOGY, ROCHESTER, NY 14607-4039
(585) 922-8350
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-1469
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
280630
NY
207RR0500X
Rheumatology Physician
40781
IA
208M00000X
Hospitalist Physician
40781
IA
208M00000X
Hospitalist Physician
MD443871
PA
Other
Enumeration date
07/20/2011
Last updated
12/17/2021
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