Individual
BUSHRA FAZILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2080 CLINTON AVE SOUTH, ROCHESTER, NY 14618
(585) 271-2800
(585) 271-0375
Mailing address
2080 CLINTON AVE SOUTH, ROCHESTER, NY 14618
(585) 271-2800
(585) 271-0375
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
229574
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000932679001
HEALTH NOW
NY
01
—
0164209
GHI
NY
05
—
02878004
—
NY
01
—
203599BT
PREFERRED CARE
NY
01
—
7485905
AETNA
NY
01
—
P010229574
EXCELLUS
NY
Enumeration date
08/03/2006
Last updated
12/08/2015
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