Individual
JAZEELA FAYYAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1561 LONG POND RD, SUITE 408, ROCHESTER, NY 14626-4117
(585) 723-7575
Mailing address
1561 LONG POND RD, SUITE 408, ROCHESTER, NY 14626-4117
(585) 723-7575
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
248680
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
248680
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03260579
—
NY
Enumeration date
12/05/2007
Last updated
06/08/2022
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