Individual
DR. FATIMA MASRUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1425 PORTLAND AVE, BOX 287, ROCHESTER, NY 14621-3001
(585) 922-5067
(585) 922-2908
Mailing address
1425 PORTLAND AVE, BOX 287, ROCHESTER, NY 14621-3001
(585) 922-5067
(585) 922-2908
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
256757
NY
208M00000X
Hospitalist Physician
Primary
256757
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01131126/RGH
—
NY
05
—
02987951
—
NY
05
—
03007063/NWK
—
NY
Enumeration date
03/30/2008
Last updated
02/11/2022
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