Individual
GABY RAZZOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-5067
(585) 922-2908
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-0553
(585) 922-2908
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
269158
NY
208M00000X
Hospitalist Physician
Primary
269158
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01131126/RGH
—
NY
05
—
03590787
—
NY
Enumeration date
07/31/2009
Last updated
01/10/2023
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