Amin Fazeli is a Dermatology in Fayetteville, New York. Amin Fazeli practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Amin Fazeli is 1215991005. The last update date is 2017-01-26.
Amin Fazeli's current location address is 4110 Medical Center Dr, Fayetteville, New York. You can contact this provider via phone number 3156630100 and fax number 3156630052. The mailing address for Amin Fazeli is 4110 Medical Center Dr, Fayetteville, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amin Fazeli |
|---|---|
| Address | 4110 Medical Center Dr, Fayetteville, New York |
| Phone Number | 3156630100 |
| Fax Number | 3156630052 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1215991005 |
|---|---|
| Provider Enumeration Date | 2006-04-17 |
| Last Updated Date | 2017-01-26 |
Provider Mailing Address Detail
| Address | 4110 Medical Center Dr |
|---|---|
| City | Fayetteville |
| State | New York (NY) |
| Post Code | 130666613 |
| Phone Number | 3156630100 |
| Fax Number | 3156630052 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 236051 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| RA7948 | NY | -- |
Post Comment/ Review Below
What is the Amin Fazeli's unique identification number?
The Amin Fazeli has been assigned the NPI (National Provider Identifier) Number 1215991005 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Amin Fazeli's physical address?
The Amin Fazeli is physically located at 4110 Medical Center Dr, in the city of Fayetteville, NY, with the postal code 130666613.
What is Amin Fazeli's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Amin Fazeli is Dermatology, and the taxonomy code that categorizes this field of expertise is 207N00000X.
When was the Amin Fazeli's 1215991005 issued?
The Amin Fazeli's 1215991005 was issued on 2006-04-17.
As of what date were the details related to Amin Fazeli most recently updated or revised?
The information pertaining to Amin Fazeli, including its address, specialty, and other relevant details, was last updated or revised on 2017-01-26.