Individual
GISSOU AZABDAFTARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8 SABLE CT W, EAST AMHERST, NY 14051-2210
(716) 845-2300
(716) 845-3427
Mailing address
601 ELMWOOD AVENUE, BOX 626, ROCHESTER, NY 14642-0001
(585) 275-5656
(585) 276-2024
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
256980
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
256980
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03225023
—
NY
Enumeration date
06/01/2006
Last updated
02/19/2025
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