Individual
FADI HATEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER GENERAL HOSPITAL, ROCHESTER, NY 14621-3001
(585) 922-4121
(585) 922-4128
Mailing address
1425 PORTLAND AVE, ROCHESTER GENERAL HOSPITAL, ROCHESTER, NY 14621-3001
(585) 922-4121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
203832
NY
207ZP0101X
Anatomic Pathology Physician
203832
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
203832
NY
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
203832
NY
Other
Enumeration date
10/05/2006
Last updated
04/07/2020
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